Individual
ROGER STEPHAN CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
210 W 22ND ST, SUITE 118, OAK BROOK, IL 60523-1544
(630) 571-1077
Mailing address
210 W 22ND ST, SUITE 118, OAK BROOK, IL 60523-1544
(630) 571-1077
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
552
IL
101YM0800X
Mental Health Counselor
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
552
ADDICTIONS COUNSELOR
IL
Enumeration date
08/01/2006
Last updated
09/11/2025
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