Individual
DR. KORNELIA KROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6438 N CENTRAL AVE, CHICAGO, IL 60646-2935
(773) 775-7883
(773) 775-7885
Mailing address
6438 N CENTRAL AVE, CHICAGO, IL 60646-2935
(773) 775-7883
(773) 775-7885
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036089290
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001632465
BLUE CROSS/BLUE SHIELD
IL
05
—
036089290
—
IL
Enumeration date
07/07/2006
Last updated
03/31/2021
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