Search › Illinois › 363A00000X
Theresa Crowder, PAC
NPI 1619961737 · on the registry since 2005 · sole proprietor
Practice
- Address
- 207 N Axtel Ave
Milford, IL 60953 - Phone
- (815) 889-4241
- Fax
- (815) 889-4244
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois