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Contact Information

SUSAN E CRAWFORD, DO
TERESA CAMP, NORTHWESTERN FACULTY FDN, PROV ENROLLMENT
680 LAKESHORE DRIVE, SUITE #1000
CHICAGO, IL60611
 Phone: 314-977-4559
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SUSAN E CRAWFORD · (Female)

NPI Number 1194725341
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/29/2005
Last updated 09/26/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036079326
  • IL Medicaid 036079326
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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