Provider Demographics
NPI:1770676579
Name:KREUSER, MAUREEN FRANCES (DC)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:FRANCES
Last Name:KREUSER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 W ARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-5170
Mailing Address - Country:US
Mailing Address - Phone:773-761-2383
Mailing Address - Fax:773-743-7152
Practice Address - Street 1:1344 W ARTHUR AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-5170
Practice Address - Country:US
Practice Address - Phone:773-761-2383
Practice Address - Fax:773-743-7152
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-006895111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL31539Medicare UPIN
IL976530Medicare ID - Type Unspecified