Daniels, Crystal Banks
Daniels, Crystal Banks is an individual health care provider with primary practice located at 228 E Lake St , Addison IL 60101-2889. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Daniels, Crystal Banks can be contacted via phone (630) 835-1430.Contact Information
Primary practice address
228 E Lake St
Addison IL 60101-2889
Phone: (630) 835-1430
Fax: (630) 835-1433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301057725 | Michigan |
Profile Details
| NPI number | 1962400556 |
|---|---|
| LBN Legal business name | Daniels, Crystal Banks |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Feb 18th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962400556 | NPPES |
| Michigan | MEDICAID | 4483489 |
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