Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 209022993 | IL |
N | 207V00000X | Obstetrician & Gynecologist | 209022993 | IL |
N | 2080A0000X | Adolescent Medicine | 209022993 | IL |
N | 208D00000X | General Practice Physician | 209022993 | ID |
NPI | 1033889761 |
---|---|
Provider Name | Lindsay Elizabeth Crawford |
First Address | Joliet, IL 60431-7840 |
Second Address | Bolingbrook, IL 60440-2852 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2021 |
Last Update Date | 14/09/2021 |