MEDICARE: ALYSSA KRAUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1700714136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA KRAUS

Provider Business Mailing Address
First Line	:	1566 FOX HOUND TRL
Second Line	:
City	:	BEECHER
State	:	IL
Zip	:	60401-3682
Country	:	US
Telephone Number	:	708-926-1519
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 5TH ST
Second Line	:
City	:	CRETE
State	:	IL
Zip	:	60417-2110
Country	:	US
Telephone Number	:	708-829-0059
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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Directions to “ ALYSSA KRAUS ” Practice Location

Language	Start Address	Practice Location

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