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Krystal Maiden, LCMT, LE
NPI 1760105787 · on the registry since 2022
Practice
- Address
- 17222 Harlem Ave
Tinley Park, IL 60477 - Phone
- (708) 468-8957
- Organisation at this address
- Illiana Orthopedics Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-23
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