Kroger, Elliott

Kroger, Elliott is an individual health care provider with primary practice located at 3210 Grand Ave , Waukegan IL 60085-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kroger, Elliott can be contacted via phone (847) 220-4103.

Contact Information

Primary practice address
3210 Grand Ave Waukegan IL 60085-2204
Phone: (847) 220-4103
Fax: (847) 693-7029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-059136 Illinois

Profile Details

NPI number 1427087063
LBN Legal business name Kroger, Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 27th, 2023 - about last year

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 1427087063 NPPES
Other 1982624763 BCBS OF IL
Other 04-29526 BCBS OF IL
Other 4932996 BCBS OF IL

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