Banzuela, Krystle

Banzuela, Krystle is an individual health care provider with primary practice located at 6360 W 159Th St Suite A & B, Oak Forest IL 60452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Banzuela, Krystle can be contacted via phone (708) 687-4620.

Contact Information

Primary practice address
6360 W 159Th St Suite A & B Oak Forest IL 60452
Phone: (708) 687-4620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209011993 Illinois

Profile Details

NPI number 1548668601
LBN Legal business name Banzuela, Krystle
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2014
Last updated Dec 5th, 2014 - about 10 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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