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NPI Code Detail

MEDICARE: MS. REBECCA E CRAIG MSCCC/SLP

MEDICARE:  MS. REBECCA E CRAIG  MSCCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146008426IL

General Provider Information

NPI Number : 1538309158
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA E CRAIG MSCCC/SLP
Provider Business Mailing Address
First Line : 421 S ISABELLA ST
Second Line :
City : CLINTON
State : IL
Zip : 61727-2376
Country : US
Telephone Number : 217-935-4835
Fax Number :
Provider Business Practice Location Address
First Line : 203 S SHERMAN ST
Second Line :
City : CLINTON
State : IL
Zip : 61727-2527
Country : US
Telephone Number : 217-853-5388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2009
Last Update Date : 01/01/2020

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Directions to “ MS. REBECCA E CRAIG MSCCC/SLP” Practice Location

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