Individual
CRYSTAL A PEOPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6545 W ARCHER AVE, CHICAGO, IL 60638-2438
(773) 229-8505
Mailing address
570 E 115TH ST, CHICAGO, IL 60628-5740
(773) 768-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-075404
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-075404
—
IL
Enumeration date
08/31/2006
Last updated
09/18/2018
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