Provider Demographics
NPI:1326364316
Name:KRONLAGE, MARIA ANN (DO)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ANN
Last Name:KRONLAGE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5851 W 95TH ST STE 400
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2415
Mailing Address - Country:US
Mailing Address - Phone:708-857-7230
Mailing Address - Fax:708-425-5779
Practice Address - Street 1:5851 W 95TH ST STE 400
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2415
Practice Address - Country:US
Practice Address - Phone:708-857-7230
Practice Address - Fax:708-425-5779
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.132071207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology