SearchIllinois208000000X

Jennifer Kroll

NPI 1558748350 · on the registry since 2015 · sole proprietor

Practice

Address
1317 E Kelly Ave
Peoria Heights, IL 61616
Phone
(414) 899-4563

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
390200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois