CRYSTAL L BOGAN

CHICAGO, IL
NPI1174333041
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: IL  126200888)
Enumeration Date2025-01-13
Last Update Date2025-01-13
Business Address
CRYSTAL L BOGAN
438 E 40TH ST APT B
CHICAGO, IL 60653-4983
Phone number: 773-887-0729
Mailing Address
CRYSTAL L BOGAN
438 E 40TH ST APT B
CHICAGO, IL 60653-4983
Phone number: 773-887-0729
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