Estrada, Crystal Elena

Estrada, Crystal Elena is an sole proprietor health care provider with primary practice located at 5174 W Cermak Rd , Cicero IL 60804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Estrada, Crystal Elena can be contacted via phone (708) 222-0100.

Contact Information

Primary practice address
5174 W Cermak Rd Cicero IL 60804
Phone: (708) 222-0100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F03230543 Illinois

Profile Details

NPI number 1720782154
LBN Legal business name Estrada, Crystal Elena
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2023
Last updated Mar 29th, 2023 - about 3 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.

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