Krystal Michael PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KRYSTAL MICHAEL PLLC

Practice address

3830 W 95TH St Ste 106
Evergreen Park, IL 60805-2088

Phone

(708) 264-9012

NPI assigned

Aug 31, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa L Wright, PMHNP-BC

Title

Psychiatric Nursepractitioner

Phone

(708) 264-9012

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1871401067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9407 S AVERS AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052008",
            "telephone_number": "708-264-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 95TH ST STE 106",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052088",
            "telephone_number": "708-264-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL MICHAEL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSEPRACTITIONER",
        "authorized_official_telephone_number": "708-264-9012",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth R Konieczny
• Anne Koronkiewicz, DO
• Bahij Kreidieh
• Christopher Michael Krippinger, PA-C
• Richard C Krueger Jr., M.D., PH.D.
• Li-Mei Ku, D.C.
• Ryan Kukor, M.D.
• Kunhunn Vellody MD
• Kwanza Suites Corporation
• Emily Laduke

• Adult Mental Health Clinic/Center in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.