Kriz, Jean M.

Kriz, Jean M. is an individual health care provider with primary practice located at 5666 E State St , Rockford IL 61108-2425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Kriz, Jean M. can be contacted via phone (815) 226-2000.

Contact Information

Primary practice address
5666 E State St Rockford IL 61108-2425
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036098334 Illinois

Profile Details

NPI number 1215029582
LBN Legal business name Kriz, Jean M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Oct 11th, 2013 - about 11 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 1215029582 NPPES
Illinois MEDICAID 036098334

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