Individual
DAVID J KRODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
036129210
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129210
—
IL
Enumeration date
07/16/2009
Last updated
12/03/2019
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