Individual
ERICA CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 W PEARSON ST APT 2E, CHICAGO, IL 60622-5217
(312) 719-0110
Mailing address
1545 W PEARSON ST APT 2E, CHICAGO, IL 60622-5217
(312) 719-0110
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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