Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher T Kroodsma, MD

Individual provider Dermatology Physician · NPI 1336230051

Christopher T Kroodsma, MD is a Dermatology in Peoria, Illinois. Graduated from University of Tennessee, Hsc, College of Medicine in 2000, 26 years ago. Practices with Central Illinois Dermatology SC, a 5-clinician group. Licensed in Illinois.

Years since qualifying
26
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5401 N Knoxville Ave Ste 115
Peoria, IL 61614-5098
Phone: (309) 691-2903
Fax: (309) 691-2909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 03110443 (IL)

Record details

NPI number1336230051
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESApril 22, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Central Illinois Dermatology Sc — 5 clinicians
Accepts Medicare assignment Not indicated

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