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Individual

CRYSTAL RENEE AANDAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(760) 845-0079
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-7776

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2006019267
MO
363LF0000X
Family Nurse Practitioner
Primary
F06190182
MO

Other

Enumeration date
10/06/2016
Last updated
04/13/2020
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