Provider Demographics
NPI:1548629801
Name:KAREN TAYLOR-CRAWFORD AND ASSOCIATES THINK CLEARLY
Entity type:Organization
Organization Name:KAREN TAYLOR-CRAWFORD AND ASSOCIATES THINK CLEARLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:DENESE
Authorized Official - Last Name:TAYLOR-CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-203-6156
Mailing Address - Street 1:9745 S VANDERPOEL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-1231
Mailing Address - Country:US
Mailing Address - Phone:773-203-6156
Mailing Address - Fax:
Practice Address - Street 1:1301 E 47TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-4507
Practice Address - Country:US
Practice Address - Phone:773-203-6156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health