Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tarah Elissa Cranick, PA

Individual provider Physician Assistant · NPI 1750471595

Tarah Elissa Cranick, PA is a Physician Assistant in Carbondale, Illinois. Works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

405 W Jackson St
Carbondale, IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 457-0469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085003209 (IL)

Record details

NPI number1750471595
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021

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