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Contact Information

CRYSTAL R AANDAHL, FNP
3001 GREEN BAY RD
NORTH CHICAGO, IL60064-3048
 Phone: 760-845-0079
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CRYSTAL R AANDAHL · (Female)

NPI Number 1316497068
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 10/06/2016
Last updated 04/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2006019267
  • MO License # F06190182
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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