| Donald E Krause Dds Ltd | |
|
555 W Court St Suite 102 Kankakee IL 60901-3664 | |
| (815) 937-3521 | |
| (815) 802-1264 |
| Full Name | Donald E Krause Dds Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 555 W Court St, Kankakee, Illinois |
| Authorized Official Name and Position | Donald E Krause (PRESIDENT) |
| Authorized Official Contact | 8159373521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald E Krause Dds Ltd 555 W Court St Suite 102 Kankakee IL 60901-3664 Ph: (815) 937-3521 | Donald E Krause Dds Ltd 555 W Court St Suite 102 Kankakee IL 60901-3664 Ph: (815) 937-3521 |
| NPI Number | 1518296938 |
|---|---|
| Provider Enumeration Date | 12/14/2009 |
| Last Update Date | 12/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518296938 | NPI | - | NPPES |
| 101470 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019018002 (Illinois) | Primary |
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