Dr. Catharine Jean Crockett, MD
Ophthalmology in Bloomington, IL. Individual provider (NPI-1).
NPI number1295739746
StatusActive
Last updated in NPPESOct 24, 2008
Details
- NPI
- 1295739746
- Entity type
- Individual (NPI-1)
- Name
- Dr. Catharine Jean Crockett
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2005
- Last updated
- Oct 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 036084217 | IL | Yes |
Practice location
1505 Eastland DrSte 2200
Bloomington, IL 61701-7910
Phone 309-662-7700 · Fax 309-662-0829
Mailing address
1505 Eastland DrSte 2200
Bloomington, IL 61701-7910
Phone 309-662-7700 · Fax 309-662-0829
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