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KRYSTLE BANZUELA FNP-BC
NPI 1548668601
Nurse Practitioner - Family in Oak Forest, IL

Active since December 05, 2014
6360 W 159TH ST, SUITE A & B, OAK FOREST, IL 60452(708) 687-4620 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Krystle Banzuela Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTLE BANZUELA FNP-BC (NPI 1548668601) is an individual family provider in Oak Forest, Illinois, licensed in Illinois (209011993) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1548668601
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTLE BANZUELACredential: FNP-BC
Location Address6360 W 159TH ST, SUITE A & BOak Forest, IL 60452
Mailing Address8810 1/2 Austin AveOak Lawn, IL 60453 · (708) 655-2427
Phone(708) 687-4620
Sole ProprietorNo
Enumeration DateDecember 5, 2014
✔ NPI 1548668601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209011993
6360 W 159TH ST, Oak Forest, IL 60452
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystle Banzuela's NPI number?

The NPI number for Krystle Banzuela is 1548668601. It was assigned to this individual provider in the NPPES registry on December 5, 2014.

Where is Krystle Banzuela located?

Krystle Banzuela practices at 6360 W 159th St Suite A & B, Oak Forest, IL 60452. The listed phone number is (708) 687-4620.

What is Krystle Banzuela's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Krystle Banzuela was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.