Healthcare Provider Details

I. General information

NPI: 1770460818
Provider Name (Legal Business Name): SABRINA JO KRAFT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N MICHIGAN AVE STE 2029
CHICAGO IL
60602-3611
US

IV. Provider business mailing address

2447 OAK PARK AVE
BERWYN IL
60402-2530
US

V. Phone/Fax

Practice location:
  • Phone: 773-345-3495
  • Fax:
Mailing address:
  • Phone: 240-750-3022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.029170
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: