Individual
JOSEPH JEFFREY KRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 347-1151
Mailing address
4301 N STAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036060195
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060195
—
IL
Enumeration date
08/21/2006
Last updated
08/04/2009
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