Provider Demographics
NPI:1902006703
Name:KRAUS, RUTH (PHD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:
Last Name:KRAUS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 SKOKIE BLVD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4015
Mailing Address - Country:US
Mailing Address - Phone:847-559-0595
Mailing Address - Fax:847-559-0629
Practice Address - Street 1:950 SKOKIE BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-4015
Practice Address - Country:US
Practice Address - Phone:847-559-0595
Practice Address - Fax:847-559-0629
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist