MEDICARE: JOSEPH KRAMKOWSKI MD

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	2084P0800X	Psychiatry Physician	4301507450	MI
2	2084P0800X	Psychiatry Physician	036174279	IL

General Provider Information

NPI Number	:	1255996419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH KRAMKOWSKI MD

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE STE 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1700
Country	:	US
Telephone Number	:	847-570-2040
Fax Number	:	847-570-5315

Provider Business Practice Location Address
First Line	:	2751 W WINONA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-2508
Country	:	US
Telephone Number	:	773-878-8200
Fax Number	:	773-989-1680

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

Provider Enumeration Date	:	05/03/2019
Last Update Date	:	06/19/2025

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