West, Christal L

West, Christal L is an individual health care provider with primary practice located at 20201 Crawford Ave , Olympia Fields IL 60461-1010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. West, Christal L can be contacted via phone (708) 679-2160.

Contact Information

Primary practice address
20201 Crawford Ave Olympia Fields IL 60461-1010
Fax: (708) 679-2161
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036085122 Illinois

Profile Details

NPI number 1427016856
LBN Legal business name West, Christal L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 16th, 2021 - about 5 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 1427016856 NPPES
Illinois MEDICAID 036085122

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