Individual
AMY E KRAMBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611-5979
(312) 695-8146
(312) 695-7030
Mailing address
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611-5979
(312) 695-8146
(312) 695-7030
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036154616
IL
208800000X
Urology Physician
45767
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068449000
—
MN
05
—
35237400
—
WI
05
—
ENROLLED
—
IA
01
—
P00042729
RAILROAD MEDICARE
MN
Enumeration date
12/22/2005
Last updated
01/07/2021
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