Organization
CRYSTAL STONE LTD
Active
Other names
New Leaf Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL STONE APRN (CEO)
(618) 416-7738
Entity
Organization
Contact information
Practice address
423 N HIGH ST, BELLEVILLE, IL 62220-1214
(618) 806-7939
(877) 295-7244
Mailing address
423 N HIGH ST, BELLEVILLE, IL 62220-1214
(618) 416-7738
(618) 416-7734
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
05/05/2026
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