Individual
CARLY KRZUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11914 S ROUTE 59 STE 134, PLAINFIELD, IL 60585-5110
(815) 469-1500
Mailing address
11914 ILLINOIS RTE 59, SUITE 134, PLAINFIELD, IL 60585-5110
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
IL
Enumeration date
12/17/2018
Last updated
04/21/2022
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