Crawford Avenue Group INC

NPI #1013409366 in Evanston, Illinois

Provider Information

NPI Number: 1013409366
Entity Type: Organization
Organization Name: Crawford Avenue Group INC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jun 2, 2018
Last Updated: Jun 2, 2018

Practice Location

Address: 2530 CRAWFORD AVE STE 206
City: Evanston
State: Illinois
ZIP Code: 60201-4959
Phone: (847) 875-4411

Authorized Official

Name: KELLI KLINGER
Title: PRESIDENT
Phone: (847) 875-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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