Healthcare Provider Details

I. General information

NPI: 1447464037
Provider Name (Legal Business Name): CRISIS SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 WEST BURTON PLACE #1901
CHICAGO IL
60610-1472
US

IV. Provider business mailing address

70 WEST BURTON PLACE #1901
CHICAGO IL
60610-1472
US

V. Phone/Fax

Practice location:
  • Phone: 312-280-9005
  • Fax: 312-280-9052
Mailing address:
  • Phone: 312-280-9005
  • Fax: 312-280-9052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name: MS. DOROTHY B MAYER
Title or Position: PRESIDENT DIRECTOR OF PROGRAM SERVI
Credential: LCSW
Phone: 312-280-9005