Individual
JAN E DROEGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13 OAKBROOKE, TROY, IL 62294-2495
(618) 505-0509
Mailing address
13 OAKBROOKE, TROY, IL 62294-2495
(618) 505-0509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.353124
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209008655
IL
Other
Enumeration date
12/08/2010
Last updated
09/13/2017
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