Individual
COREY CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 W ROOSEVELT RD, LOMBARD, IL 60148-4402
(630) 290-8500
Mailing address
3034 N FRANCISCO AVE APT 2, CHICAGO, IL 60618-7022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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