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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KRYSTAL MICHAEL PLLC
NPI 1871401067
Clinic/Center - Adult Mental Health in Evergreen Park, IL

Active since August 31, 2026
3830 W 95TH ST STE 106, EVERGREEN PARK, IL 60805(708) 264-9012 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Krystal Michael Pllc NPPES

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

KRYSTAL MICHAEL PLLC (NPI 1871401067) is a healthcare organization registered as an adult mental health in Evergreen Park, Illinois and active in the NPI registry since August 2026. The organization lists Lisa L Wright, Psychiatric Nursepractitioner, as its authorized official.

NPPES Registry Identity

NPI1871401067
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameKRYSTAL MICHAEL PLLC
Location Address3830 W 95TH ST STE 106Evergreen Park, IL 60805-2088
Mailing Address9407 S Avers AveEvergreen Park, IL 60805-2008 · (708) 264-9012
Phone(708) 264-9012
Organization SubpartNo
Authorized OfficialLisa L WrightPsychiatric Nursepractitioner · (708) 264-9012
Enumeration DateAugust 31, 2026
NPPES CertifiedAugust 30, 2026
✔ NPI 1871401067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
3830 W 95TH ST STE 106, Evergreen Park, IL 60805
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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 Krystal Michael PLLC's NPI number?

The NPI number for Krystal Michael PLLC is 1871401067. It was assigned to this organization in the NPPES registry on August 31, 2026.

Where is Krystal Michael PLLC located?

Krystal Michael PLLC is located at 3830 W 95th St Ste 106, Evergreen Park, IL 60805. The listed phone number is (708) 264-9012.

What is Krystal Michael PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Krystal Michael PLLC was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.