Individual
MR. CORY J KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2128 N MAIN ST, PRINCETON, IL 61356
(815) 875-2273
(815) 207-8682
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 876-4419
(815) 876-4455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016472
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209016472
—
IL
Enumeration date
09/12/2017
Last updated
10/15/2020
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