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Kenneth R. Krock, MD
Internal Medicine Physician in Canton, Illinois
NPI 1699883868

Kenneth R. Krock is a Internal Medicine Physician based in Canton, IL. Kenneth R. Krock practices in Canton, IL and has the professional credentials of MD. The NPI Number for Kenneth R. Krock is 1699883868 and holds a License No. 036079829 (Illinois).

The current practice location address for Kenneth R. Krock is 180 S Main St, Canton, IL and can be reached out via phone at 309-647-0201 and via fax at 309-649-6880.

Location: 180 S Main St, Canton, IL, 61520-2608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699883868
Provider Name
Kenneth R. Krock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
180 S Main St, Canton, IL, 61520-2608
Phone Number
309-647-0201
Fax Number
309-649-6880
Provider Enumeration Date
08/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
079829 01 IL OSF HEALTHPLANS
CG5172 01 IL RR MEDICARE GROUP#
02922981 01 IL BCBS
200397 01 IL BLACK LUNG
013495 01 IL HEALTH ALLIANCE
036079829 05 IL
194215197 01 IL NPI CLINIC NUMBER
0062839 01 IL UMWA
110200867 01 IL RR MEDICARE PIN
180741 01 IL HEALTH LINK
IL0104 01 IL JOHN DEERE
institution
Provider Business Practice Location Address Details
Address
180 S Main St
City
Canton
State
Illinois
Zip
61520-2608
Phone Number
309-647-0201
Fax Number
309-649-6880
person
Provider Business Mailing Address Details
Address
180 S Main St
City
Canton
State
Illinois
Zip
61520-2608
Phone Number
309-647-0201
Fax Number
309-649-6880
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
036079829 (Illinois)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
036079829 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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