Individual
CRYSTAL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2070 N IL-50, 500, BOURBONNAIS, IL 60914
(779) 236-4094
Mailing address
21364 WILLOW PASS, SHOREWOOD, IL 60404-8237
(630) 312-0348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209031084
IL
Other
Enumeration date
11/18/2024
Last updated
12/20/2024
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