Individual
CRAIG R. ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 995-9808
(708) 995-3803
Mailing address
6415 STANLEY AVE, BERWYN, IL 60402-3130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
08/16/2010
Last updated
01/25/2013
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