Provider Demographics
NPI:1003085812
Name:PMUC, LLC
Entity Type:Organization
Organization Name:PMUC, LLC
Other - Org Name:CRAINSMITH INSTITUTE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAINSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-567-4796
Mailing Address - Street 1:19164 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-8135
Mailing Address - Country:US
Mailing Address - Phone:708-567-4796
Mailing Address - Fax:708-326-2965
Practice Address - Street 1:19164 88TH AVE
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-8135
Practice Address - Country:US
Practice Address - Phone:708-567-4796
Practice Address - Fax:708-326-2965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty