Individual
DR. KENNETH STRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 369-1761
Mailing address
501 HAMPTON CT, GERMANTOWN HILLS, IL 61548-9485
(309) 369-1761
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036119309
IL
Other
Enumeration date
06/21/2007
Last updated
09/24/2010
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