Individual
MS. RAQUEL MARILYN WEST-CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1901 W HARRISON ST, 2ND FLOOR, GENERAL MEDICINE CLINIC, CHICAGO, IL 60612-3714
(312) 864-6212
(312) 864-9318
Mailing address
2325 KERRY LN, DARIEN, IL 60561-8443
(630) 985-4923
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
IL
Other
Enumeration date
06/08/2006
Last updated
08/16/2007
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