Organization
CRONIN MEDICAL GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL CRONIN MD (PRESIDENT)
18154774600
Entity
Organization
Contact information
Practice address
390 E CONGRESS PKWY, SUITE H, CRYSTAL LAKE, IL 60014-6202
(815) 477-4600
(815) 477-4605
Mailing address
390 E CONGRESS PKWY, SUITE H, CRYSTAL LAKE, IL 60014-6202
(815) 477-4600
(815) 477-4605
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036105826
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105826
—
IL
Enumeration date
09/24/2010
Last updated
09/24/2010
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