Individual
KRYSTLE EKHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
9108 S TROY AVE, EVERGREEN PARK, IL 60805-1628
(773) 241-4497
Mailing address
9108 S TROY AVE, EVERGREEN PARK, IL 60805-1628
(773) 241-4497
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
041.453125
IL
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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