Krystal Ioannou

NPI 1558751222 · on the registry since 2015 · sole proprietor

Practice

Address: 1720 N Milwaukee Ave
Vernon Hills, IL 60061
Phone: (847) 816-3247
Fax: (855) 770-7855
Organisation at this address: Roundys Supermarkets Inc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 183500000X
183500000X
Also registered as: 183500000X
Licence states on file: IL, WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-02-02

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