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NPI Code Detail

MEDICARE: DANA KROOP APRN

MEDICARE: DANA KROOP APRN
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
1363LF0000XFamily Nurse Practitioner209-016054IL

General Provider Information

NPI Number : 1437558541
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA KROOP APRN
Provider Business Mailing Address
First Line : 2232 N CLYBOURN AVE FL 3
Second Line :
City : CHICAGO
State : IL
Zip : 60614-3193
Country : US
Telephone Number : 312-633-5841
Fax Number : 773-269-5500
Provider Business Practice Location Address
First Line : 3924 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2228
Country : US
Telephone Number : 773-276-2229
Fax Number : 773-276-2190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2014
Last Update Date : 07/21/2022

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Directions to “ DANA KROOP APRN” Practice Location

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