Individual
KRYSTAL CHANTAL AMOROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-6730
Mailing address
2933 N SHERIDAN RD APT 213, CHICAGO, IL 60657-5929
(331) 218-8735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59094
KY
208M00000X
Hospitalist Physician
Primary
59094
KY
390200000X
Student in an Organized Health Care Education/Training Program
125078389
IL
Other
Enumeration date
09/10/2021
Last updated
08/28/2024
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