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NPI Code Detail

MEDICARE: DR. APRIL BJV CRAWFORD PSYD

MEDICARE:  DR. APRIL BJV CRAWFORD  PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist071009939IL

General Provider Information

NPI Number : 1033630959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. APRIL BJV CRAWFORD PSYD
Provider Business Mailing Address
First Line : 150 N MICHIGAN AVE STE 800
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7585
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 N MICHIGAN AVE STE 800
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7585
Country : US
Telephone Number : 312-566-8536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2017
Last Update Date : 03/16/2021

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