CRYSTAL J RICHARDSON

CHICAGO, IL
NPI1558001511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  125.083051)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-29
Last Update Date2023-08-07
Business Address
Dr. CRYSTAL J RICHARDSON MD
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 312-996-6765
Mailing Address
Dr. CRYSTAL J RICHARDSON MD
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 312-996-6765