Individual
KRYSTLE EITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14755 STONEHAVEN LN, HOMER GLEN, IL 60491-3392
(708) 645-1634
Mailing address
14755 STONEHAVEN LN, HOMER GLEN, IL 60491-3392
(708) 645-1634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011438
IL
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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