Individual
KYLEE L. CROWTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11200 LINCOLN HWY, MOKENA, IL 60448-8208
(815) 464-2171
Mailing address
11200 LINCOLN HWY, MOKENA, IL 60448-8208
(815) 464-2171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209010042
IL
Other
Enumeration date
11/28/2012
Last updated
04/25/2013
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