Individual
MARYFRANCES CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2970 CHARTRES ST, LA SALLE, IL 61301-1097
(815) 223-0196
(815) 223-0358
Mailing address
2970 CHARTRES ST, LA SALLE, IL 61301-1097
(815) 223-0196
(815) 223-0358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-002814
IL
Other
Enumeration date
01/19/2006
Last updated
07/26/2012
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