Provider Demographics
NPI:1063995785
Name:CRAYTON, FRANCINA S (MASTER SPECIAL ED)
Entity type:Individual
Prefix:
First Name:FRANCINA
Middle Name:S
Last Name:CRAYTON
Suffix:
Gender:F
Credentials:MASTER SPECIAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 W FITZHENRY CT
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60425-1114
Mailing Address - Country:US
Mailing Address - Phone:773-272-1177
Mailing Address - Fax:
Practice Address - Street 1:801 W FITZHENRY CT
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:IL
Practice Address - Zip Code:60425-1114
Practice Address - Country:US
Practice Address - Phone:773-272-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-09
Last Update Date:2018-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty