Provider Demographics
NPI:1326033051
Name:KRAUS, BARBARA R (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:R
Last Name:KRAUS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 HILLCREST CT
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4423
Mailing Address - Country:US
Mailing Address - Phone:312-925-7200
Mailing Address - Fax:
Practice Address - Street 1:6320 159TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-2776
Practice Address - Country:US
Practice Address - Phone:708-429-2777
Practice Address - Fax:708-429-2780
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL998560Medicare ID - Type UnspecifiedGROUP #322940