Gladys Lillian Croom in Chicago - Clinical
Gladys Lillian Croom - NPI 1679760839
Gladys Lillian Croom is a Clinical in Chicago, Illinois. Gladys Lillian Croom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gladys Lillian Croom is 1679760839. The last update date is 2007-10-01.
Gladys Lillian Croom's current location address is 6719 S Cornell Ave Apt 2n, Chicago, Illinois. You can contact this provider via phone number 7732561844 and fax number 7732561845. The mailing address for Gladys Lillian Croom is 6719 S Cornell Ave Apt 2n, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gladys Lillian Croom |
|---|---|
| Address | 6719 S Cornell Ave Apt 2n, Chicago, Illinois |
| Phone Number | 7732561844 |
| Fax Number | 7732561845 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1679760839 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2007-10-01 |
Provider Mailing Address Detail
| Address | 6719 S Cornell Ave Apt 2n |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606491683 |
| Phone Number | 7732561844 |
| Fax Number | 7732561845 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-005125 |
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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 |
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What is the unique identification code assigned to Gladys Lillian Croom by the Centers for Medicare & Medicaid Services?
The Gladys Lillian Croom has been issued the NPI (National Provider Identifier) 1679760839. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gladys Lillian Croom is located?
The Gladys Lillian Croom is situated at the following address: 6719 S Cornell Ave Apt 2N, Chicago, IL, 606491683.
What is Gladys Lillian Croom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gladys Lillian Croom is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679760839 to Gladys Lillian Croom?
The Gladys Lillian Croom received its 1679760839 assignment from the Centers for Medicare & Medicaid Services on 2007-10-01.
When was the information regarding Gladys Lillian Croom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gladys Lillian Croom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-01.
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