Progressive Family Health

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

207Q00000X Issued in IL

Legal business name

PROGRESSIVE FAMILY HEALTH

Practice address

1110 Arbor Dr
Suite D
Decatur, IL 62526-9285

Phone

(217) 875-9995

NPI assigned

Apr 17, 2007

Last updated

Jul 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Krol, M.D.NPI 1366578791

Title

President

Phone

(217) 875-9995

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Z Krol, M.D.

  • Family Medicine Physician
  • Oak Lawn, IL
  • NPI 1366578791
  NPD (past) Authorized official
• Mark David Scott, M.D.

  • Family Medicine Physician
  • Decatur, IL
  • NPI 1598867707
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185580800000",
    "number": "1942425517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ARBOR DR",
            "address_2": "SUITE D",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269285",
            "telephone_number": "217-875-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ARBOR DR",
            "address_2": "SUITE D",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269285",
            "telephone_number": "217-875-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-28",
        "status": "A",
        "authorized_official_last_name": "KROL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-875-9995",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "207Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "05822882",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Marie Preston, PA-C
• Prevention and Treatment Services of Decatur Inc
• Aarhianna Primm
• Priority Health Family Medicine LLC
• Kathleen Ann Pritchett, PA
• Prosthetic Orthotic Specialist Inc
• Jennifer Pugh
• Deborah L Pulliam, APRN, CNP
• Tracy Pulliam, LCSW
• Miranda Pygott

• Legal Medicine in Decatur, IL
• Providers in Decatur, IL by specialty
• Legal Medicine in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2007; 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.