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Individual

KRYSTAL WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19600 LA GRANGE RD, MOKENA, IL 60448-9321
(708) 478-3000
Mailing address
19600 LA GRANGE RD, MOKENA, IL 60448-9321

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
227006030
IL

Other

Enumeration date
09/04/2014
Last updated
09/04/2014
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