Individual
KRYSTAL WEIAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3808 N LINCOLN AVE STE 101, CHICAGO, IL 60613-7499
(773) 677-4300
(773) 423-8429
Mailing address
3808 N LINCOLN AVE STE 101, CHICAGO, IL 60613-7499
(773) 677-4300
(773) 423-8429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006378
IL
Other
Enumeration date
10/04/2017
Last updated
01/12/2024
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