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Individual

KURT R CROWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
305 E. JOE DRIVE, KSB CENTER FOR HEALTH SERVICES/AMBOY, AMBOY, IL 61310
(815) 857-3044
(815) 857-2010
Mailing address
305 JOE DR E, AMBOY, IL 61310-9492
(815) 857-3044
(815) 285-7870

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36102549
IL
207Q00000X
Family Medicine Physician
Primary
036-102549
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036102549
IL
01
930097648
RRMCR
IL
01
K33934
MEDICARE
IL
Enumeration date
06/09/2006
Last updated
12/10/2024
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