Healthcare Provider Details

I. General information

NPI: 1558565945
Provider Name (Legal Business Name): ZEHAVA KRAUSS SP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 N WHIPPLE ST
CHICAGO IL
60659-1420
US

IV. Provider business mailing address

8180 MCCORMICK BLVD
SKOKIE IL
60076-2920
US

V. Phone/Fax

Practice location:
  • Phone: 847-745-1693
  • Fax: 847-745-1735
Mailing address:
  • Phone: 847-745-1693
  • Fax: 847-745-1735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: