Individual
MS. CRYSTAL CELESTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14730 MAIN ST, HARVEY, IL 60426-1923
(708) 333-0300
Mailing address
18814 AVERS AVE, FLOSSMOOR, IL 60422-1013
(630) 697-3396
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.005193
IL
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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