Provider Demographics
NPI:1700198520
Name:KRAJEC, EMILY B (DO)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:B
Last Name:KRAJEC
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:IL
Mailing Address - Zip Code:62450-2553
Mailing Address - Country:US
Mailing Address - Phone:618-395-7340
Mailing Address - Fax:618-392-3228
Practice Address - Street 1:685 VAIL ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-9510
Practice Address - Country:US
Practice Address - Phone:812-386-6650
Practice Address - Fax:812-386-6698
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02004141A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine