Individual
ROWYN KRUISWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1757 N KIMBALL AVE STE 202, CHICAGO, IL 60647-4805
(312) 278-3447
Mailing address
505 S BUSEY AVE APT 408, URBANA, IL 61801-7905
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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