Individual
LACEY KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 909-9130
(217) 545-7438
Mailing address
ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO, 225 E CHICAGO AVE., CHICAGO, IL 60611
(312) 227-4000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.135447
IL
Other
Enumeration date
06/29/2009
Last updated
10/15/2024
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