Carol Krohm, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

2611 W Chicago Ave
Chicago, IL 60622

Phone

(773) 395-9901

Fax

(773) 395-9902

NPI assigned

Jan 31, 2008

Last updated

Jan 31, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3547/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Communityhealth

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1295947430
  NPD (past)
• Midwest Palliative & Hospice Carecenter

  • Home Health Agency
  • Glenview, IL
  • NPI 1811011919
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1255519310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 430",
            "address_2": "20605 E BRINK ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600330430",
            "telephone_number": "815-943-6905",
            "fax_number": "708-401-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-395-9901",
            "fax_number": "773-395-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROHM",
        "first_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WI",
            "license": "2825020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kroczek Surgical Associates LTD.
• David J Krodel, M.D.
• Allison Ernt Kroeger, DPT
• Emily Kroening, M.D.
• Christine Krogmann, PHARMD
• Damon Krohn, LCPC
• Kathryn Krohn
• Carroll Krois-Giocondo, LCSW
• Kasey Elizabeth Kroiss, DPT, PT
• Karli Anne Krok, LPC

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.