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Individual

CAROL KROHM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2611 W CHICAGO AVE, CHICAGO, IL 60622
(773) 395-9901
(773) 395-9902
Mailing address
BOX 430, 20605 E BRINK ST, HARVARD, IL 60033-0430
(815) 943-6905
(708) 401-0080

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
2825020
WI

Other

Enumeration date
01/31/2008
Last updated
01/31/2008
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