Search › Illinois › 171R00000X
Crystal Grove
NPI 1013225184 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1149 Hazel Dell Rd
Greenville, IL 62246 - Phone
- (618) 335-1624
Registry record
- Primary taxonomy
- 171R00000X
171R00000X
- Sex
- Female
- Record last updated
- 2010-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois