Individual
TIMOTHY STEPHEN KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
750 N FRANKLIN ST, STE 102, CHICAGO, IL 60654-6263
(312) 280-7886
(312) 280-9547
Mailing address
750 N FRANKLIN ST, STE 102, CHICAGO, IL 60654-6263
(312) 280-7886
(312) 280-9547
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016005211
IL
213EP0504X
Public Medicine Podiatrist
016005211
IL
213EP1101X
Primary Podiatric Medicine Podiatrist
016-005211
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005211
IL
213ES0131X
Foot Surgery Podiatrist
016-005211
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002465026 05
UNITED HEALTHCARE
IL
01
—
316-002321
CSR
IL
01
—
7032671
AETNA
IL
01
—
7072691
CIGNA
IL
Enumeration date
06/23/2005
Last updated
06/23/2021
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