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Organization

OAK TREE DEVELOPMENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY A CRUM MA CCC SLPL (SPEECH PATHOLOGIST)
(312) 642-4300
Entity
Organization

Contact information

Practice address
1640 N WELLS ST UNIT 103, CHICAGO, IL 60614-6006
(312) 642-4300
(312) 642-4302
Mailing address
1640 N WELLS ST UNIT 103, CHICAGO, IL 60614-6006
(312) 642-4300
(312) 642-4302

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL
235Z00000X
Speech-Language Pathologist
IL

Other

Enumeration date
03/02/2007
Last updated
09/11/2025
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