Individual
MRS. DAISY CREATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
60 W TERRA COTTA AVE STE B, CRYSTAL LAKE, IL 60014-3548
(224) 313-3065
Mailing address
60 W TERRA COTTA AVE STE B, BOX 151, CRYSTAL LAKE, IL 60014-3548
(224) 313-3065
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209029567
IL
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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