Individual
CHRYSTA SHIANNE WEATHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
Mailing address
9822 S OGLESBY AVE, CHICAGO, IL 60617-4870
(773) 595-5154
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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