| NPI | 1992450779 |
|---|---|
| Doing Business As | CRYSTAL U.C. CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH DINGLASAN Medical Director 224-409-8497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2022-02-19 |