Provider Demographics
NPI:1457565673
Name:SUE ELLEN KRAUSE, PH.D.
Entity Type:Organization
Organization Name:SUE ELLEN KRAUSE, PH.D.
Other - Org Name:KRAUSE SPEECH AND LANGUAGE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH & LANG. PATHOLOGIST,EXEC DIR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUE ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAUSE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CCC-SLP
Authorized Official - Phone:312-943-1927
Mailing Address - Street 1:233 E ERIE ST
Mailing Address - Street 2:SUITE 815
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2926
Mailing Address - Country:US
Mailing Address - Phone:312-943-1927
Mailing Address - Fax:312-943-2692
Practice Address - Street 1:233 E ERIE ST
Practice Address - Street 2:SUITE 815
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2926
Practice Address - Country:US
Practice Address - Phone:312-943-1927
Practice Address - Fax:312-943-2692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty