Individual
DR. MICHAEL EDWARD CREMERIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 333, CHICAGO, IL 60631-3745
(773) 631-8483
(773) 631-8506
Mailing address
7447 W TALCOTT AVE, SUITE 333, CHICAGO, IL 60631-3745
(773) 631-8483
(773) 631-8506
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02205932
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/27/2005
Last updated
07/08/2007
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