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Contact Information

JILL R CROOK, LISAC
5801 N 51ST AVE
GLENDALE, AZ85301-6057
 Phone: 602-685-6000
 Fax: 602-930-0358
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JILL R CROOK · (Female)

NPI # 1134519796
Status Active
Credentials LISAC
Entity Individual
Enumeration date 02/03/2015
Last updated 02/03/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # LISAC-10131
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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