MEDICARE: KRATES EYE CENTERS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1184470387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRATES EYE CENTERS PLLC

Provider Business Mailing Address
First Line	:	7340 W COLLEGE DR FL 2
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1159
Country	:	US
Telephone Number	:	708-361-7800
Fax Number	:	708-361-8737

Provider Business Practice Location Address
First Line	:	7340 W COLLEGE DR FL 2
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1159
Country	:	US
Telephone Number	:	708-361-7800
Fax Number	:	708-361-8737

Authorized Official
Title or Position	:	MANAGER
Name	:	NICKOLAS P KATSOULAKIS
Credential	:	M.D.
Telephone Number	:	708-361-7800

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	04/29/2024

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