Crum, Roger Stephan

Crum, Roger Stephan is an sole proprietor health care provider with primary practice located at 210 W 22Nd St Suite 118, Oak Brook IL 60523-1544. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Crum, Roger Stephan can be contacted via phone (630) 571-1077.

Contact Information

Primary practice address
210 W 22Nd St Suite 118 Oak Brook IL 60523-1544
Phone: (630) 571-1077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 552 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1972510121
LBN Legal business name Crum, Roger Stephan
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972510121 NPPES
Illinois Other 552 ADDICTIONS COUNSELOR

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