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

Jennifer Lynn Kroll

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558748350

Jennifer Lynn Kroll is a Student in an Organized Health Care Education/Training Program in Peoria Heights, Illinois. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1317 E Kelly Ave
Peoria Heights, IL 61616
Phone: (414) 899-4563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 69309 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558748350
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2015
Last updated in NPPESMay 24, 2018
Mailing address530 Ne Glen Oak Ave, Pediatric Residency Program - Uicomp, Peoria, IL 61637-0001

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