West-Crisp, Raquel Marilyn

West-Crisp, Raquel Marilyn is an individual health care provider with primary practice located at 1901 W Harrison St 2Nd Floor, General Medicine Clinic, Chicago IL 60612-3714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. West-Crisp, Raquel Marilyn can be contacted via phone (312) 864-6212.

Contact Information

Primary practice address
1901 W Harrison St 2Nd Floor, General Medicine Clinic Chicago IL 60612-3714
Phone: (312) 864-6212
Fax: (312) 864-9318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X Illinois

Profile Details

NPI number 1215978812
LBN Legal business name West-Crisp, Raquel Marilyn
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 16th, 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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