MEDICARE: DR. LANCE WILLIAM KRUSE DDS

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	1223G0001X	General Practice Dentistry		IL

General Provider Information

NPI Number	:	1205041431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANCE WILLIAM KRUSE DDS

Provider Business Mailing Address
First Line	:	1909 OLD WILLOW RD
Second Line	:
City	:	NORTHFIELD
State	:	IL
Zip	:	60093-2912
Country	:	US
Telephone Number	:	847-441-5233
Fax Number	:	847-446-3707

Provider Business Practice Location Address
First Line	:	840 GREEN BAY RD
Second Line	:
City	:	WINNETKA
State	:	IL
Zip	:	60093-1864
Country	:	US
Telephone Number	:	847-446-3820
Fax Number	:	847-446-3707

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1811988397 — DR. CAROL KAY THARP MD
Practice Location Address:

840 GREEN BAY RD
WINNETKA, IL
60093-1864

Practice Phone: 847-446-7996
Practice Fax: 847-446-7926

1366446163 — DR. ALVARO A FIGUEROA D.D.S.
Practice Location Address:

1075 GAGE ST
WINNETKA, IL
60093-1704

Practice Phone: 847-501-4740
Practice Fax: 847-501-4744

1740275015 — DR. WALTER R GROBELNY JR. M.D.
Practice Location Address:

700 OAK ST , SUITE 200
WINNETKA, IL
60093-2566

Practice Phone: 847-446-1066
Practice Fax: 847-446-1825

1265427546 — DR. ROBIN M WIND M.D.
Practice Location Address:

525 WINNETKA AVE
WINNETKA, IL
60093-4050

Practice Phone: 847-446-1112
Practice Fax: 847-446-1717

1770569006 — MARJORIE H MAYER MD
Practice Location Address:

542 LINCOLN AVE
WINNETKA, IL
60093-2308

Practice Phone: 847-446-1829
Practice Fax: 847-446-1118

1093768228 — NORTH SHORE PHYSICIANS GROUP, LLC
Practice Location Address:

525 WINNETKA AVE
WINNETKA, IL
60093-4050

Practice Phone: 847-501-4060
Practice Fax:

Directions to “ DR. LANCE WILLIAM KRUSE DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.