John Fredrick Kreckman in Springfield - Family Medicine
John Fredrick Kreckman - NPI 1124126909
John Fredrick Kreckman is a Family Medicine in Springfield, Illinois. John Fredrick Kreckman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Fredrick Kreckman is 1124126909. The last update date is 2023-03-07.
John Fredrick Kreckman's current location address is Po Box 19670, Springfield, Illinois. You can contact this provider via phone number 2175458000 and fax number 2177471351. The mailing address for John Fredrick Kreckman is Po Box 19670, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Fredrick Kreckman |
|---|---|
| Address | Po Box 19670, Springfield, Illinois |
| Phone Number | 2175458000 |
| Fax Number | 2177471351 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124126909 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 19670 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949670 |
| Phone Number | 2175458000 |
| Fax Number | 2177471351 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36097934 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36097394 | IL | CONTROLLED SUB. LICENSE | |
| IL2613 | MEDICARE GROUP # | ||
| 36097934 | IL | LICENSE | |
| 36097934 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Fredrick Kreckman by the Centers for Medicare & Medicaid Services (CMS)?
The John Fredrick Kreckman has been assigned the NPI (National Provider Identifier) 1124126909. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where John Fredrick Kreckman's facilities are geographically located?
The facilities of John Fredrick Kreckman are physically situated at the following location: Po Box 19670, Springfield, IL, 627949670.
What is John Fredrick Kreckman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Fredrick Kreckman is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
When did the John Fredrick Kreckman receive its 1124126909?
The John Fredrick Kreckman was issued its 1124126909 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to John Fredrick Kreckman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Fredrick Kreckman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.