| Indivisual Llc | |
|
5911 N Leader Ave Chicago IL 60646-5625 | |
| (773) 332-7382 | |
| Not Available |
| Full Name | Indivisual Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5911 N Leader Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jayme Lynn Crooks (PRESIDENT) |
| Authorized Official Contact | 7733327382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indivisual Llc 5911 N Leader Ave Chicago IL 60646-5625 Ph: (773) 332-7382 | Indivisual Llc 5911 N Leader Ave Chicago IL 60646-5625 Ph: (773) 332-7382 |
| NPI Number | 1073909941 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 06/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073909941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1107278 (Illinois) | Primary |
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