Individual
CRYSTAL ANN CARGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP-BC
Contact information
Practice address
1506 W REYNOLDS ST, PONTIAC, IL 61764-9674
(815) 844-3897
Mailing address
1506 W REYNOLDS ST, PONTIAC, IL 61764-9674
(815) 844-3897
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017889
IL
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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