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NPI Code Detail

MEDICARE: DR. KATHLEEN ELIZABETH CRONIN MD

MEDICARE: DR. KATHLEEN ELIZABETH CRONIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036171272IL

General Provider Information

NPI Number : 1265069371
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN ELIZABETH CRONIN MD
Provider Business Mailing Address
First Line : 904 MELLON ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72207-6141
Country : US
Telephone Number : 501-680-4349
Fax Number :
Provider Business Practice Location Address
First Line : 200 S MICHIGAN AVE STE 1550
Second Line :
City : CHICAGO
State : IL
Zip : 60604-2424
Country : US
Telephone Number : 312-220-3322
Fax Number : 833-907-2160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 09/17/2024

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