CRYSTAL MEDINA

CHICAGO, IL
NPI1689111585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209014941)
Enumeration Date2017-01-30
Last Update Date2017-01-30
Business Address
-- CRYSTAL MEDINA APN
2233 W DIVISION ST
CHICAGO, IL 60622-8151
Phone number: 312-770-3524
Mailing Address
-- CRYSTAL MEDINA APN
2049 N BINGHAM ST
CHICAGO, IL 60647-4031
Phone number: 773-954-9215
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