Provider Demographics
NPI:1760535637
Name:KRAUSE, LAUREN KOBRITZ (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:KOBRITZ
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 N LAKE SHORE DR
Mailing Address - Street 2:APT. 2901
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-2874
Mailing Address - Country:US
Mailing Address - Phone:773-248-5249
Mailing Address - Fax:
Practice Address - Street 1:E. 65TH ST AT LAKE MICHIGAN
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-1395
Practice Address - Country:US
Practice Address - Phone:773-256-5781
Practice Address - Fax:773-363-3481
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist