Life Made Krystal Clear LLC
Life Made Krystal Clear LLC provides Clinical Social Worker services in Chicago, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2045 W Grand Ave Ste BChicago, IL 60612-1577
Phone: (312) 933-3167
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1629817523 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Krystal Fowlkes — Child & Family Therapist · (312) 933-3167 |
| NPI enumerated | May 21, 2024 |
| Last updated in NPPES | May 21, 2024 |
| Certification date | May 21, 2024 |
| Mailing address | 2045 W Grand Ave Ste B, Chicago, IL 60612-1577 |
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