Kramer, Elizabeth

Kramer, Elizabeth is an individual health care provider with primary practice located at 435 Maxine Dr , Morton IL 61550-2498. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kramer, Elizabeth can be contacted via phone (309) 263-2424.

Contact Information

Primary practice address
435 Maxine Dr Morton IL 61550-2498
Fax: (309) 284-2255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-104993 Illinois

Profile Details

NPI number 1720188204
LBN Legal business name Kramer, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Jul 12th, 2024 - about 2 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 1720188204 NPPES
Illinois MEDICAID 306104993

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