Provider Demographics
NPI:1689952814
Name:CARYN ORLIN-KRAFF, M.D.,LTD.
Entity Type:Organization
Organization Name:CARYN ORLIN-KRAFF, M.D.,LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLIN-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:2011-07-21
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036078321207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036078321Medicaid
IL036078321Medicaid
ILL977090Medicare PIN