Kroger Limited Partnership I

Specialty details in registry · East Peoria, IL

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At a glance

201 S Main St, East Peoria, IL 61611-2458

NPPES record updated May 18, 2016. Public records can lag behind changes at a practice.

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Practice location

201 S Main St
East Peoria, IL 61611-2458

Professional details: NPI, taxonomy & registry record

NPI1275606899

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 3336C0003X
Enumeration date: Nov 15, 2006
Record updated: May 18, 2016

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

332B00000X

Specialty details in registry

333600000X

Specialty details in registry

3336C0003X · Primary

License reported: 054008814 IL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

201 S Main St
East Peoria, IL 61611-2458

Phone: (309) 694-6451
Fax: (309) 694-6453

Mailing address

PO BOX 842772

BOSTON, MA 022842772

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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