Individual
CRYSTAL EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
74550 W 63RD STREET, SUMMIT, IL 60501
(708) 458-0757
Mailing address
600 W FULTON ST, SUITE 200, CHICAGO, IL 60661-1259
(312) 526-2200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016311
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149016311
LCSW
IL
Enumeration date
09/24/2015
Last updated
09/24/2015
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