Provider Demographics
NPI:1144282286
Name:CRANE GILMORE & ASSOCIATES, INC.
Entity type:Organization
Organization Name:CRANE GILMORE & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BEVERLEE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-674-8786
Mailing Address - Street 1:125 SW JEFFERSON AVE
Mailing Address - Street 2:SUITE 222
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61602-1224
Mailing Address - Country:US
Mailing Address - Phone:309-674-8786
Mailing Address - Fax:309-674-8776
Practice Address - Street 1:125 SW JEFFERSON AVE
Practice Address - Street 2:SUITE 222
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61602-1224
Practice Address - Country:US
Practice Address - Phone:309-674-8786
Practice Address - Fax:309-674-8776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty