Kraft, Jerome P

Kraft, Jerome P is an individual health care provider with primary practice located at 5401 N Knoxville Ave Suite 400, Peoria IL 61614-5098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kraft, Jerome P can be contacted via phone (309) 692-6644.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 400 Peoria IL 61614-5098
Phone: (309) 692-6644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Illinois

Profile Details

NPI number 1205883741
LBN Legal business name Kraft, Jerome P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205883741 NPPES
Illinois Other 141413 HEALTHLINK
Illinois Other 4281670001 HEALTHLINK
Illinois Other 009013 HEALTHLINK
Illinois Other 7230175 HEALTHLINK
Illinois Other 20004076 HEALTHLINK

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