Individual
JENNIFER LYNN KROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 E KELLY AVE, PEORIA HEIGHTS, IL 61616
(414) 899-4563
Mailing address
530 NE GLEN OAK AVE, PEDIATRIC RESIDENCY PROGRAM - UICOMP, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
69309
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/30/2015
Last updated
05/24/2018
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