Individual
IRVIN MARTIN KRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
475 RIVER BEND RD, SUITE 105, NAPERVILLE, IL 60540-5255
(630) 527-1631
Mailing address
475 RIVER BEND RD, SUITE 105, NAPERVILLE, IL 60540-5255
(630) 527-1631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3644135
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2219760
BLUE SHIELD IL PROVIDER #
IL
Enumeration date
06/29/2006
Last updated
07/08/2007
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