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Crystal A Lacy
Family Nurse Practitioner in Willowbrook, Illinois
NPI 1194494823

Crystal A Lacy is a Family Nurse Practitioner based in Willowbrook, IL and is specialized in Family. Crystal A Lacy practices in Willowbrook, IL. The NPI Number for Crystal A Lacy is 1194494823 and holds a License No. 209023978 (Illinois).

The current practice location address for Crystal A Lacy is 40 75Th St, Willowbrook, IL and can be reached out via phone at 630-581-5372.

Location: 40 75Th St, Willowbrook, IL, 60527-2325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194494823
Provider Name
Crystal A Lacy
Credential
Provider Entity Type
Individual
Gender
Female
Address
40 75Th St, Willowbrook, IL, 60527-2325
Phone Number
630-581-5372
Fax Number
Provider Enumeration Date
09/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 75Th St
City
Willowbrook
State
Illinois
Zip
60527-2325
Phone Number
630-581-5372
Fax Number
person
Provider Business Mailing Address Details
Address
40 75Th St
City
Willowbrook
State
Illinois
Zip
60527-2325
Phone Number
630-581-5372
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209023978 (Illinois)
Definition
Definition to come...
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