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Organization

INSPIRE1WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL TURNER APN, PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(708) 833-9638
Entity
Organization

Contact information

Practice address
111 N WABASH AVE BLDG 3132, CHICAGO, IL 60602-1903
(708) 833-9638
Mailing address
111 N WABASH AVE BLDG 3132, CHICAGO, IL 60602-1903
(708) 833-9638

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528559424
NPI NUMBER
IL
Enumeration date
06/30/2021
Last updated
06/30/2021
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