Provider Demographics
NPI:1851810048
Name:KROL, AUBREE JO SAVAGE
Entity Type:Individual
Prefix:
First Name:AUBREE
Middle Name:JO SAVAGE
Last Name:KROL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 STAGECOACH TRL
Mailing Address - Street 2:
Mailing Address - City:LE CLAIRE
Mailing Address - State:IA
Mailing Address - Zip Code:52753-9577
Mailing Address - Country:US
Mailing Address - Phone:309-236-2317
Mailing Address - Fax:
Practice Address - Street 1:1004 1ST ST
Practice Address - Street 2:
Practice Address - City:COAL VALLEY
Practice Address - State:IL
Practice Address - Zip Code:61240-9393
Practice Address - Country:US
Practice Address - Phone:309-743-1614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009585235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist