John Fredrick Kreckman, M.D.
Family Medicine in Springfield, IL. Individual provider (NPI-1).
NPI number1124126909
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1124126909
- Entity type
- Individual (NPI-1)
- Name
- John Fredrick Kreckman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036097934 | IL | Yes |
Practice location
520 N 4th StSpringfield, IL 62702-5238
Phone 217-545-8000 · Fax 217-747-1351
Mailing address
Po Box 19670Springfield, IL 62794-9670
Phone 217-545-8000 · Fax 217-747-1351
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