Organization
KAREN TAYLOR CRAWFORD AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE J CRAWFORD (MANAGER)
(312) 388-4967
Entity
Organization
Contact information
Practice address
301 E. 47TH STREET, CHICAGO, IL 60653-3656
(773) 844-0228
Mailing address
9745 S VANDERPOEL AVE, CHICAGO, IL 60643-1231
(773) 203-6156
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
036056639
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056639
—
IL
Enumeration date
05/15/2012
Last updated
06/10/2016
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