Kreklow, Yolanta

Kreklow, Yolanta is an sole proprietor health care provider with primary practice located at 145 S Virginia St , Crystal Lake IL 60014-7226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kreklow, Yolanta can be contacted via phone (815) 444-9999.

Contact Information

Primary practice address
145 S Virginia St Crystal Lake IL 60014-7226
Phone: (815) 444-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209016064 Illinois

Profile Details

NPI number 1750804167
LBN Legal business name Kreklow, Yolanta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2017
Last updated Feb 13th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750804167 NPPES
Illinois MEDICAID 209016064

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