Provider Demographics
NPI:1174991079
Name:WESTERLUND, CRAIG S (ACT, PHD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:S
Last Name:WESTERLUND
Suffix:
Gender:M
Credentials:ACT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14130 HEMPSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-2981
Mailing Address - Country:US
Mailing Address - Phone:708-349-0834
Mailing Address - Fax:
Practice Address - Street 1:14130 HEMPSTEAD DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-2981
Practice Address - Country:US
Practice Address - Phone:708-349-0834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000069171100000X
WI405-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist