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Organization
CHRYSTAL CLINIC
Active
Organization
CHRYSTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTAL CIODYK DACM (OWNER)
(815) 200-1061
Entity
Organization
Contact information
Practice address
437 W STATE ST, SUITE 101, SYCAMORE, IL 60178
(815) 200-1061
Mailing address
437 W STATE ST, SUITE 101, SYCAMORE, IL 60178
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/14/2020
Last updated
01/20/2021
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