Krissberg, Allen I

Krissberg, Allen I is an individual health care provider with primary practice located at 900 N Westmoreland Rd Suite 110, Lake Forest IL 60045-1674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Krissberg, Allen I can be contacted via phone (847) 295-1220.

Contact Information

Primary practice address
900 N Westmoreland Rd Suite 110 Lake Forest IL 60045-1674
Phone: (847) 295-1220
Fax: (847) 295-1255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36062153 Illinois

Profile Details

NPI number 1306883756
LBN Legal business name Krissberg, Allen I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 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 1306883756 NPPES
Illinois MEDICAID 36062153

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