Individual
KATHRYN CRIVOLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D T
Contact information
Practice address
1337 W FLOURNOY ST, CHICAGO, IL 60607-3333
(312) 286-9659
Mailing address
1337 W FLOURNOY ST, CHICAGO, IL 60607-3333
(312) 286-9659
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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