Individual
DR. AUGUST JOHN CRIVOLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
333 E ONTARIO ST, SUITE 301B, CHICAGO, IL 60611-4804
(312) 951-0157
(312) 951-0193
Mailing address
333 E ONTARIO ST, SUITE 301B, CHICAGO, IL 60611-4804
(312) 951-0157
(312) 951-0193
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1672476
BLUE CROSS
IL
Enumeration date
04/14/2007
Last updated
07/08/2007
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