Mroz, Krysta

Mroz, Krysta is an individual health care provider with primary practice located at 1250 Executive Pl Ste 201 , Geneva IL 60134-3805. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mroz, Krysta can be contacted via phone (815) 223-2237.

Contact Information

Primary practice address
1250 Executive Pl Ste 201 Geneva IL 60134-3805
Phone: (815) 223-2237
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 20-129273 Illinois

Profile Details

NPI number 1982206678
LBN Legal business name Mroz, Krysta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2020
Last updated Nov 9th, 2020 - about 6 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 1982206678 NPPES
Illinois Other 20-129273 RBT

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