Individual
ELIZABETH CRISOSTOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2429 S CHRISTIANA AVE, CHICAGO, IL 60623-4010
(773) 242-5673
Mailing address
2429 S CHRISTIANA AVE, CHICAGO, IL 60623-4010
(773) 242-5673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023049
IL
Other
Enumeration date
03/10/2022
Last updated
06/17/2024
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