CRYSTAL LYNN COLE PMHNP-BC LLC NPI 1154955334

NPI Information

  • NPI: 1154955334
  • Provider Name: CRYSTAL LYNN COLE PMHNP-BC LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 2500 W BRADLEY PL STE 100
    CHICAGO, IL
    ZIP 60618
  • Phone: (224) 306-1879

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NPI Details

CRYSTAL LYNN COLE PMHNP-BC LLC is a psychiatric/mental health nurse practitioner in Chicago, IL. CRYSTAL LYNN COLE PMHNP-BC LLC NPI is 1154955334. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 W BRADLEY PL STE 100
CHICAGO, IL
ZIP 60618-716
Phone: (224) 306-1879
Fax: (224) 205-3757

The provider's authorized official is Crystal Lynn Cole .
The authorized official title is Owner and has the following contact phone number (224) 306-1879.

The enumeration date for this NPI number is 2/26/2020 and was last updated on 2/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112756649OTHERCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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