August John Crivolio in Chicago - Clinical

August John Crivolio - NPI 1497970644

August John Crivolio is a Clinical in Chicago, Illinois. August John Crivolio practices all healthcare services and medical treatments related to Clinical. The NPI Number for August John Crivolio is 1497970644. The last update date is 2007-07-08.

August John Crivolio's current location address is 333 E Ontario St, Chicago, Illinois. You can contact this provider via phone number 3129510157 and fax number 3129510193. The mailing address for August John Crivolio is 333 E Ontario St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name August John Crivolio
Address 333 E Ontario St, Chicago, Illinois
Phone Number 3129510157
Fax Number 3129510193
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1497970644
Provider Enumeration Date 2007-04-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 333 E Ontario St
City Chicago
State Illinois (IL)
Post Code 606114804
Phone Number 3129510157
Fax Number 3129510193

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1672476 IL BLUE CROSS

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FAQs about August John Crivolio

What is the unique identification code assigned to August John Crivolio by the Centers for Medicare & Medicaid Services?

The August John Crivolio has been issued the NPI (National Provider Identifier) 1497970644. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the August John Crivolio located?

The August John Crivolio is located at 333 E Ontario St, Chicago, IL 606114804.

What is August John Crivolio's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for August John Crivolio is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

On what date did August John Crivolio receive its 1497970644 assignment from the Centers for Medicare & Medicaid Services?

The August John Crivolio was assigned its 1497970644 on 2007-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to August John Crivolio most recently updated or revised?

The details related to August John Crivolio, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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