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Dr. Richard Neal Craig, AUD
Military Health Care Provider in Marion, Illinois
NPI 1376704783

Richard Neal Craig is a Military Health Care Provider based in Eldorado, IL. Richard Neal Craig practices in Marion, IL and has the professional credentials of AUD. The NPI Number for Richard Neal Craig is 1376704783 and holds a License No. 147000639 (Illinois).

The current practice location address for Richard Neal Craig is 2401 W Main St, Marion, IL and can be reached out via phone at 618-997-5311.

Location: 2401 W Main St, Marion, IL, 62930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376704783
Provider Name
Richard Neal Craig
Credential
AUD
Provider Entity Type
Individual
Gender
Male
Address
2401 W Main St, Marion, IL, 62930
Phone Number
618-997-5311
Fax Number
Provider Enumeration Date
06/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2401 W Main St
City
Marion
State
Illinois
Zip
62959-1188
Phone Number
618-997-5311
Fax Number
person
Provider Business Mailing Address Details
Address
2401 W Main St
City
Marion
State
Illinois
Zip
62959-1188
Phone Number
618-997-5311
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
147000639 (Illinois)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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