Healthcare Provider Details

I. General information

NPI: 1952987216
Provider Name (Legal Business Name): PAUL EDWIN KRAUS LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 GRAND AVE
WAUKEGAN IL
60085-2321
US

IV. Provider business mailing address

1504 N KENNICOTT AVE
ARLINGTON HEIGHTS IL
60004-3602
US

V. Phone/Fax

Practice location:
  • Phone: 847-377-8000
  • Fax:
Mailing address:
  • Phone: 708-275-7686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.016153
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number096004820
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: