Individual
MR. ELISHA JAMES KRONCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 N RANDALL RD STE AIP, ELGIN, IL 60123-2300
(800) 655-2656
(412) 822-7411
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041374043
IL
363LA2100X
Acute Care Nurse Practitioner
209027231
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
209-027231
IL
Other
Enumeration date
02/09/2023
Last updated
11/04/2024
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