Individual
CYNTHIA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1095 PINGREE RD, SUITE 108, CRYSTAL LAKE, IL 60014-1725
(847) 658-2400
(847) 658-7755
Mailing address
PO BOX 1588, CRYSTAL LAKE, IL 60039-1588
(847) 658-2400
(847) 658-7755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277000733
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277000733
FULL PRACTICE AUTHORITY
IL
Enumeration date
08/31/2006
Last updated
05/20/2021
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