Provider Demographics
NPI:1093231706
Name:STRODE, CRYSTAL JAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:JAYNE
Last Name:STRODE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:61238-1402
Mailing Address - Country:US
Mailing Address - Phone:309-714-3483
Mailing Address - Fax:
Practice Address - Street 1:411 SOUTH RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:IL
Practice Address - Zip Code:61238-1402
Practice Address - Country:US
Practice Address - Phone:309-714-3483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor