Individual
DR. DENNIS J CRNKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E PENNSYLVANIA AVE, SUITE 105, PEORIA, IL 61603-3089
(309) 655-7888
(309) 655-7905
Mailing address
200 E PENNSYLVANIA AVE, SUITE 105, PEORIA, IL 61603-3089
(309) 655-7888
(309) 655-7905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036078560
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078560
—
IL
Enumeration date
02/17/2006
Last updated
02/03/2014
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