Individual
DR. LUCENA CRISOSTOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
709 SAINT JOSEPHS DR, OAK BROOK, IL 60523-2570
(630) 323-2950
Mailing address
709 SAINT JOSEPHS DR, OAK BROOK, IL 60523-2570
(630) 323-2950
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036054193
IL
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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