Individual
CRYSTAL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 S WACKER DR, CHICAGO, IL 60606-5829
(773) 254-5555
(773) 254-5025
Mailing address
13012 GRANDE POPLAR CIR, PLAINFIELD, IL 60585-2870
(815) 483-8761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020961
IL
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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