Individual
CRYSTAL COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 383-3168
Mailing address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 383-3168
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209011659
IL
Other
Enumeration date
08/22/2014
Last updated
12/30/2019
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