Crystal Stone Ltd
NPI #1619409075 in Belleville, Illinois
Provider Information
- NPI Number
- 1619409075
- Entity Type
- Organization
- Organization Name
- Crystal Stone Ltd
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 3, 2017
- Last Updated
- Jul 28, 2023
Practice Location
- Address
- 423 N HIGH ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-1214
- Phone
- (618) 806-7939
Authorized Official
- Name
- CRYSTAL STONE, APRN
- Title
- CEO
- Phone
- (618) 416-7738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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