Dr. Jean M. Kriz
Emergency Medical Services
5666 E State St
Rockford
, Illinois 61108-2425
Dr. Jean M. Kriz
Emergency Medical Services
5666 E State St
Rockford
, Illinois 61108-2425
(815) 226-2000
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Jean M. Kriz
- 5666 E State St
- Rockford, IL
- Zip : 61108-2425
- Phone : (815) 226-2000
Second Address
- Dr. Jean M. Kriz
- 5666 E State St
- Rockford, IL
- Zip : 61108-2425
- Phone : (815) 226-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 036098334 | IL |
National Provider Identifier
| NPI | 1215029582 |
|---|---|
| Provider Name | Dr. Jean M. Kriz |
| First Address | Rockford, IL 61108-2425 |
| Second Address | Rockford, IL 61108-2425 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 11/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036098334 | (05) | IL |
| H67822 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.