Individual
DR. KAREN STRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
513 N MAIN ST, ANNA, IL 62906-1668
(618) 833-4471
(618) 833-6267
Mailing address
513 N MAIN ST, ANNA, IL 62906-1668
(618) 833-4471
(618) 833-6267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036059507
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027545
HAMP INSURANCE #
IL
05
—
036059507
—
IL
01
—
080061809
RAILROAD MEDICARE #
IL
01
—
102355
HEALTHLINK INSURANCE #
IL
01
—
46374
GHP INSURANCE #
IL
Enumeration date
03/14/2006
Last updated
04/25/2016
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