Provider Demographics
NPI:1417170085
Name:STEPHEN G KRATES DO PC
Entity Type:Organization
Organization Name:STEPHEN G KRATES DO PC
Other - Org Name:KRATES EYE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:KRATES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-361-7800
Mailing Address - Street 1:7340 WEST COLLEGE DRIVE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463
Mailing Address - Country:US
Mailing Address - Phone:708-361-7800
Mailing Address - Fax:708-361-8737
Practice Address - Street 1:7340 WEST COLLEGE DRIVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463
Practice Address - Country:US
Practice Address - Phone:708-361-7800
Practice Address - Fax:708-361-8737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
965070Medicare ID - Type Unspecified