Provider Demographics
NPI:1578519179
Name:KRAFF EYE INSTITUTE, LTD.
Entity Type:Organization
Organization Name:KRAFF EYE INSTITUTE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLMAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:KRAFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-444-1111
Mailing Address - Street 1:25 E WASHINGTON ST
Mailing Address - Street 2:SUITE 606
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1708
Mailing Address - Country:US
Mailing Address - Phone:312-444-1111
Mailing Address - Fax:312-444-1953
Practice Address - Street 1:25 E WASHINGTON ST
Practice Address - Street 2:SUITE 606
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1708
Practice Address - Country:US
Practice Address - Phone:312-444-1111
Practice Address - Fax:312-444-1953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180029730OtherRAILROAD MEDICARE
IL907520Medicare ID - Type Unspecified