Individual
CRISTHIAN JUSTINICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-2751
Mailing address
1905 POPLAR CREEK CT, JOLIET, IL 60431-8499
(815) 690-0217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.437814
IL
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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