Most Relevant Information
Provider Data
| NPI Number: | 1003821448 |
| Provider Name: | EMILY CREBO FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209005763 |
Most Important Dates
| Enumeration Date: | 07/31/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
610 PARK AVE
PEKIN
IL
615544650
Practice Location Phone/Fax
| Phone: | 3093467776 |
| Fax: |
Provider Mailing Location
5405 N KNOXVILLE AVE
PEORIA
IL
616145016
Provider Mailing Phone/Fax
| Phone: | 3096914410 |
| Fax: |