Individual
DR. DIANE C. KRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 S LOCUST ST, TREMONT, IL 61568-0187
(309) 925-2961
(309) 925-4221
Mailing address
105 S LOCUST ST, PO BOX 187, TREMONT, IL 61568-9572
(309) 925-2961
(309) 925-4221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036111933
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9015656
BCBS
IL
01
—
P00253527
RAILROAD MEDICARE
IL
Enumeration date
09/20/2005
Last updated
05/15/2008
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