Provider Demographics
NPI:1770517013
Name:HALIHAN, CRAIG W (DPM)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:W
Last Name:HALIHAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1750 N RANDALL RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-7900
Mailing Address - Country:US
Mailing Address - Phone:847-468-1994
Mailing Address - Fax:847-468-1963
Practice Address - Street 1:1750 N RANDALL RD
Practice Address - Street 2:SUITE 160
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7900
Practice Address - Country:US
Practice Address - Phone:847-468-1994
Practice Address - Fax:847-468-1963
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016-005296213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL3909Medicare PIN
ILV10280Medicare UPIN