Provider Demographics
NPI:1982082137
Name:ELISABETH J KRAUS
Entity Type:Organization
Organization Name:ELISABETH J KRAUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMT
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:KRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-254-5025
Mailing Address - Street 1:6801 N MILWAUKEE AVE
Mailing Address - Street 2:#407
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714
Mailing Address - Country:US
Mailing Address - Phone:847-254-5025
Mailing Address - Fax:
Practice Address - Street 1:6801 N MILWAUKEE AVE
Practice Address - Street 2:#407
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-4556
Practice Address - Country:US
Practice Address - Phone:847-254-5025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175L00000XOther Service ProvidersHomeopathGroup - Single Specialty