Individual
REBECCA KRILICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15900 W 101ST AVE, DYER, IN 46311-3065
(219) 365-6333
Mailing address
15900 W 101ST AVE, DYER, IN 46311-3065
(219) 365-6333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011778A
IN
Other
Enumeration date
11/09/2021
Last updated
01/27/2023
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