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Organization

CRABTREE CONSULTING OF ILLINOIS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN THOMAS CRABTREE (OWNER)
(773) 793-6223
Entity
Organization

Contact information

Practice address
6632 N SIOUX AVE, CHICAGO, IL 60646-2821
(773) 793-6223
Mailing address
6632 N SIOUX AVE, CHICAGO, IL 60646-2821
(773) 793-6223

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
BC71920812P
IL

Other

Enumeration date
09/25/2017
Last updated
09/25/2017
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