Juarez, Crystal

Juarez, Crystal is an sole proprietor health care provider with primary practice located at 1645 W Jackson Blvd Ste 215 , Chicago IL 60612-3227. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Juarez, Crystal can be contacted via phone (312) 942-8028.

Contact Information

Primary practice address
1645 W Jackson Blvd Ste 215 Chicago IL 60612-3227
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.080502 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.080502 Illinois

Profile Details

NPI number 1689303273
LBN Legal business name Juarez, Crystal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2022
Last updated Jun 8th, 2022 - about 4 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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