Provider Demographics
NPI:1811097801
Name:CRAIG, NONA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:NONA
Middle Name:MARIE
Last Name:CRAIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9711 SKOKIE BLVD
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1384
Mailing Address - Country:US
Mailing Address - Phone:847-675-9711
Mailing Address - Fax:847-675-9714
Practice Address - Street 1:9711 SKOKIE BLVD
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1384
Practice Address - Country:US
Practice Address - Phone:847-675-9711
Practice Address - Fax:847-675-9714
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036079415207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE40933Medicare UPIN
ILIL2485013Medicare PIN
L31094Medicare ID - Type Unspecified