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Crystal Gausden

NPI 1164821880 · on the registry since 2014 · sole proprietor

Practice

Address
1842 W Irving Park Rd
Unit 403
Chicago, IL 60613
Phone
(214) 676-3408

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-19

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