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Contact Information

DELLA D CROFT, PAC
403 E 1ST ST
DIXON, IL61021
 Phone: 815-285-5629
 Fax: 815-285-5634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DELLA D CROFT · (Female)

NPI Number 1154347359
Status Active
Credentials PAC
Entity Individual
Enumeration date 07/14/2006
Last updated 10/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085000762
  • KY License # PA312
  • IL Other F400559193 MEDICARE PTAN
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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