DR. Jeremy L Krock, DO

NPI #1073501359 in Peoria, Illinois

Provider Information

NPI Number: 1073501359
Entity Type: Individual
Name: DR. Jeremy L Krock, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: DO
Enumeration Date: Oct 11, 2005
Last Updated: Aug 3, 2010

Practice Location

Address: 8600 N STATE ROUTE 91
Address 2: SUITE 250
City: Peoria
State: Illinois
ZIP Code: 61615-9541
Phone: (309) 692-5393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Family Medicine	207Q00000X

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