Crimson Leadership Group | |
3339 Highland Ave Berwyn IL 60402-3817 | |
(630) 248-9272 | |
Not Available |
Full Name | Crimson Leadership Group |
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Speciality | Social Worker - Clinical |
Location | 3339 Highland Ave, Berwyn, Illinois |
Authorized Official Name and Position | Josette Heredia-carmona (PRESIDENT/CEO) |
Authorized Official Contact | 6302489272 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crimson Leadership Group 3339 Highland Ave Apt/suite Berwyn IL 60402-3817 Ph: (630) 248-9272 | Crimson Leadership Group 3339 Highland Ave Berwyn IL 60402-3817 Ph: (630) 248-9272 |
NPI Number | 1912308453 |
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Provider Enumeration Date | 09/15/2014 |
Last Update Date | 09/15/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912308453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149010344 (Illinois) | Primary |
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