Individual
MRS. GINA C CHMELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
145 S. VIRGINIA STREET, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
(815) 986-1363
Mailing address
145 S. VIRGINIA STREET, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
(815) 986-1363
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008640
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209008640
IL
Other
Enumeration date
02/24/2011
Last updated
01/22/2019
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