Healthcare Provider Details
I. General information
NPI: 1093643942
Provider Name (Legal Business Name): FELICA MARIE MCCROY
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16108 S RTE 59 STE 132
PLAINFIELD IL
60586-2920
US
IV. Provider business mailing address
514 CLEVELAND AVE
BATAVIA IL
60510-2722
US
V. Phone/Fax
- Phone: 331-299-5422
- Fax:
- Phone: 309-363-7070
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: