Individual
GLENN CHARLES KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS MA
Contact information
Practice address
1433 W FLOURNOY ST, CHICAGO, IL 60607-3205
(312) 375-8883
Mailing address
1433 W FLOURNOY ST, CHICAGO, IL 60607-3205
(312) 375-8883
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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