Larson, Krystyna

Larson, Krystyna is an individual health care provider with primary practice located at 3900 W 95Th St Suite 7, Evergreen Park IL 60805-1922. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Larson, Krystyna can be contacted via phone (708) 423-7900.

Contact Information

Primary practice address
3900 W 95Th St Suite 7 Evergreen Park IL 60805-1922
Phone: (708) 423-7900
Fax: (708) 423-7999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05002424A Indiana

Profile Details

NPI number 1366505851
LBN Legal business name Larson, Krystyna
Credentials P.T., CLT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 10th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366505851 NPPES
Indiana Other P00387674 RAILROAD MEDICARE

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