Individual
DR. JEAN M. KRIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
Mailing address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036098334
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098334
—
IL
Enumeration date
09/28/2006
Last updated
10/11/2013
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