Provider Demographics
NPI:1518136654
Name:KRAUS LANDGREBE, ALEXIS MOTRIA (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:MOTRIA
Last Name:KRAUS LANDGREBE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ALEXIS
Other - Middle Name:MOTRIA
Other - Last Name:KRAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC,
Mailing Address - Street 1:6828 171ST ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-3724
Mailing Address - Country:US
Mailing Address - Phone:630-229-5640
Mailing Address - Fax:
Practice Address - Street 1:6828 171ST ST
Practice Address - Street 2:SUITE B
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-3724
Practice Address - Country:US
Practice Address - Phone:630-229-5640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor