Cradock, Carroll A

Cradock, Carroll A is an sole proprietor health care provider with primary practice located at 411 S Sangamon St Suite 2A, Chicago IL 60607-3547. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Cradock, Carroll A can be contacted via phone (312) 243-7441.

Contact Information

Primary practice address
411 S Sangamon St Suite 2A Chicago IL 60607-3547
Phone: (312) 243-7441
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1316085954
LBN Legal business name Cradock, Carroll A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2007
Last updated Jul 8th, 2007 - about 17 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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