Healthcare Provider Details

I. General information

NPI: 1295652758
Provider Name (Legal Business Name): ISABEL KRAUSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ISABEL FAVELA MATA

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 WALL ST STE 204
NAPERVILLE IL
60563-1146
US

IV. Provider business mailing address

3036 WATERS EDGE CIR
AURORA IL
60504-3297
US

V. Phone/Fax

Practice location:
  • Phone: 773-739-0992
  • Fax:
Mailing address:
  • Phone: 630-788-6133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.129179
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: