Individual
ISABELLA KROCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16342 W LANFEAR DR, LOCKPORT, IL 60441-4747
(815) 905-1036
Mailing address
16342 W LANFEAR DR, LOCKPORT, IL 60441-4747
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
242.007127
IL
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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