Organization
DAVID E KRAUSE MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BELL (PRACTICE ADMINISTRATOR)
(779) 301-0975
Entity
Organization
Contact information
Practice address
475 BROWN BLVD STE 106, BOURBONNAIS, IL 60914-2325
(815) 933-8020
(815) 933-8068
Mailing address
1022 DEER TRL, BOURBONNAIS, IL 60914-9338
(815) 351-5912
(815) 933-8068
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036061543
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061543
—
IL
Enumeration date
12/04/2009
Last updated
10/04/2021
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