Individual
KRYSTAL MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3015 HAROLDS CRES, FLOSSMOOR, IL 60422-2009
(708) 420-6057
Mailing address
913 E 100TH PL, CHICAGO, IL 60628-1683
(773) 319-7272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041410747
IL
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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