Healthcare Provider Details

I. General information

NPI: 1386570752
Provider Name (Legal Business Name): CASSANDRA KRAMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N WABASH AVE STE 600
CHICAGO IL
60602-1950
US

IV. Provider business mailing address

401 N WABASH AVE UNIT 46F
CHICAGO IL
60611-3784
US

V. Phone/Fax

Practice location:
  • Phone: 312-332-0844
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number855090
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: