Kreklow, Yolanta
Kreklow, Yolanta is an sole proprietor health care provider with primary practice located at 145 S Virginia St , Crystal Lake IL 60014-7226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kreklow, Yolanta can be contacted via phone (815) 444-9999.Contact Information
Primary practice address
145 S Virginia St
Crystal Lake IL 60014-7226
Phone: (815) 444-9999
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209016064 | Illinois |
Profile Details
NPI number | 1750804167 |
---|---|
LBN Legal business name | Kreklow, Yolanta |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 18th, 2017 |
Last updated | Feb 13th, 2018 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750804167 | NPPES |
Illinois | MEDICAID | 209016064 |
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