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Individual

PHILIP J KREGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3171

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036175835
IL
207X00000X
Orthopaedic Surgery Physician
75226
MN
207XX0801X
Orthopaedic Trauma Physician
75226
MN
207XX0801X
Orthopaedic Trauma Physician
Primary
MD.33955
AL
207XX0801X
Orthopaedic Trauma Physician
MD36107
TN
2086S0127X
Trauma Surgery Physician
MD36107
TN

Other

Enumeration date
10/09/2006
Last updated
01/28/2026
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