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Individual

DR. KEN R KREBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
140 NORTH LA GRANGE ROAD, LA GRANGE, IL 60525
(708) 354-7344
(708) 354-5930
Mailing address
140 NORTH LA GRANGE ROAD, LA GRANGE, IL 60525
(708) 354-7344
(708) 354-5930

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01683000
BCBS
IL
Enumeration date
03/25/2008
Last updated
03/25/2008
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