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William Craggs, CPO

in Oak Park, IL. Individual provider (NPI-1).

NPI number1457724700
StatusActive
Last updated in NPPESNov 9, 2015

Details

NPI
1457724700
Entity type
Individual (NPI-1)
Name
William Craggs
Credential
CPO
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 9, 2015
Last updated
Nov 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Z00000X 213.000141ILYes
224P00000X Prosthetist211.000099IL

Practice location

214 Chicago Ave
Oak Park, IL 60302-2310

Phone 708-848-4646 · Fax 708-848-1341

Mailing address

214 Chicago Ave
Oak Park, IL 60302-2310

Phone 708-848-4646 · Fax 708-848-1341

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