| Karen Taylor Crawford And Associates | |
|
301 E. 47th Street Chicago IL 60653-3656 | |
| (773) 844-0228 | |
| Not Available |
| Full Name | Karen Taylor Crawford And Associates |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 E. 47th Street, Chicago, Illinois |
| Authorized Official Name and Position | Theodore J Crawford (MANAGER) |
| Authorized Official Contact | 3123884967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Taylor Crawford And Associates 9745 S Vanderpoel Ave Chicago IL 60643-1231 Ph: (773) 203-6156 | Karen Taylor Crawford And Associates 301 E. 47th Street Chicago IL 60653-3656 Ph: (773) 844-0228 |
| NPI Number | 1598024200 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598024200 | NPI | - | NPPES |
| 036056639 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 036056639 (Illinois) | Primary |
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