Organization · Type 2 NPI
Crystal Cole Pmhnp-Bc LLC
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1073147252
Active
Practice location
2500 W Bradley Pl Ste 100
Chicago, IL 60618-4716
Fax (224) 306-1879
Mailing address
PO Box 506
Northbrook, IL 60065-0506
Other practice locations
- 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 · (224) 306-1879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1073147252
Crystal Cole Pmhnp-Bc LLC's National Provider Identifier is 1073147252, issued on Feb 26, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Feb 26, 2020.