Individual
KATHRYN O KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 MAIN ST, SUITE 500A, PEORIA, IL 61606-1907
(309) 672-4980
(309) 671-2944
Mailing address
PO BOX 365, MORTON, IL 61550-0365
(309) 672-4980
(309) 671-2944
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036082100
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360821001
—
IL
01
—
220019675
RAILROAD MEDICARE
IL
Enumeration date
06/02/2006
Last updated
06/21/2012
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