Individual
DR. HENRY WILLIAM KRUG IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2700 W LAWRENCE AVE, SUITE J-4, SPRINGFIELD, IL 62704-1181
(217) 546-6698
Mailing address
2700 W LAWRENCE AVE, SUITE J-4, SPRINGFIELD, IL 62704-1181
(217) 546-6698
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012022
IL
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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