Individual
CRYSTAL KHERKHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 S WELLS ST APT 2108, CHICAGO, IL 60607-4794
(248) 953-7430
Mailing address
720 S WELLS ST APT 2108, CHICAGO, IL 60607-4794
(248) 953-7430
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
04/04/2020
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