Crystal Berymon

Individual provider Active NPI Case Manager/Care Coordinator · East Hazel Crest, IL

NPI 1033638622 · NPPES record last updated Sep 14, 2017

Key facts

NPI
1033638622
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1909 Cheker SQ
East Hazel Crest, IL 60429-1442
Phone
(708) 444-1012
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1909 Cheker SQ
East Hazel Crest, IL 60429-1442

Mailing address

17746 Oak Park Ave
Tinley Park, IL 60477-3936

Other providers in East Hazel Crest, IL

All providers in East Hazel Crest, IL · Case Manager/Care Coordinator in Illinois

Sources for this page

Verify at the official NPI Registry.