institution
Crystal Lynn Cole Pmhnp-bc Llc
Psychiatric/Mental Health Nurse Practitioner in Chicago, Illinois
NPI 1154955334

Crystal Lynn Cole Pmhnp-bc Llc is a Psychiatric/Mental Health Nurse Practitioner based in Northbrook, IL and is specialized in Psychiatric/Mental Health. Crystal Lynn Cole Pmhnp-bc Llc practices in Chicago, IL. The NPI Number for Crystal Lynn Cole Pmhnp-bc Llc is 1154955334 and holds a License No. (Illinois).

The current practice location address for Crystal Lynn Cole Pmhnp-bc Llc is 2500 W Bradley Pl Ste 100, Chicago, IL and can be reached out via phone at 224-306-1879 and via fax at 224-205-3757.

Location: 2500 W Bradley Pl Ste 100, Chicago, IL, 60065-0506
institution
Provider Profile Details
NPI Number
1154955334
Provider Name
Crystal Lynn Cole Pmhnp-bc Llc
Credential
Provider Entity Type
Organization
Address
2500 W Bradley Pl Ste 100, Chicago, IL, 60065-0506
Phone Number
224-306-1879
Fax Number
224-205-3757
Provider Enumeration Date
02/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12756649 01 CAQH
institution
Provider Business Practice Location Address Details
Address
2500 W Bradley Pl Ste 100
City
State
Zip
60618-4716
Phone Number
224-306-1879
Fax Number
224-205-3757
person
Provider Business Mailing Address Details
Address
2500 W Bradley Pl Ste 100
City
State
Zip
60618-4716
Phone Number
224-306-1879
Fax Number
224-205-3757
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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