Crivolio, August John
Crivolio, August John is an sole proprietor health care provider with primary practice located at 333 E Ontario St Suite 301B, Chicago IL 60611-4804. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Crivolio, August John can be contacted via phone (312) 951-0157.Contact Information
Primary practice address
333 E Ontario St Suite 301B
Chicago IL 60611-4804
Phone: (312) 951-0157
Fax: (312) 951-0193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1497970644 |
|---|---|
| LBN Legal business name | Crivolio, August John |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497970644 | NPPES |
| Illinois | Other | 1672476 | BLUE CROSS |
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