Individual
KRYSTAL SHANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7102 CERMAK RD SPC C2, BERWYN, IL 60402-2114
(708) 637-6679
Mailing address
KRYSTAL SHANKLIN, PO BOX 1026, PLAINFIELD, IL 60544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.026486
IL
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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