Most Relevant Information
Provider Data
| NPI Number: | 1003211442 |
| Provider Name: | R TODD KRUEGER D.M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 019-024078 |
Most Important Dates
| Enumeration Date: | 10/28/2014 |
| Last Updated: | 10/28/2014 |
Provider Practice Location
527 PULASKI ST
LINCOLN
IL
626562773
Practice Location Phone/Fax
| Phone: | 3092630850 |
| Fax: | 3092632308 |
Provider Mailing Location
213 S CLIFTON AVE
MORTON
IL
615502033
Provider Mailing Phone/Fax
| Phone: | 3092630850 |
| Fax: | 3092632308 |