Provider Demographics
NPI:1447563903
Name:CRAIG, DOUGLAS NEAL II (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:NEAL
Last Name:CRAIG
Suffix:II
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7N699 WAGONTIRE RD
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-6620
Mailing Address - Country:US
Mailing Address - Phone:773-456-3156
Mailing Address - Fax:
Practice Address - Street 1:1800 NATIONS DR
Practice Address - Street 2:SUITE 208
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-9168
Practice Address - Country:US
Practice Address - Phone:773-456-3156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007815103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical