Individual
YOLANTA KREKLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
Mailing address
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209016064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209016064
—
IL
Enumeration date
07/18/2017
Last updated
02/13/2018
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