| Daniel J Kruse, MD | |
|
2900 Foxfield Rd, Suite 200, St Charles, IL 60174-5799 | |
| (630) 377-7900 | |
| (630) 377-8007 |
| Full Name | Daniel J Kruse |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 2900 Foxfield Rd, St Charles, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992736284 | NPI | - | NPPES |
| 036098663 | Medicaid | IL | |
| 363149833 | Other | IL | TAX IDENTIFICATION NUMBER |
| 3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
| 0222075 | Other | IL | BLUE CRSS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036098663 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Resilience Home Health Corporation | Aurora, IL | Home health agency |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Delnor Community Hospital | Geneva, IL | Hospital |
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Kruse, MD 2900 Foxfield Rd, Suite 200, St Charles, IL 60174-5799 Ph: (630) 377-7900 | Daniel J Kruse, MD 2900 Foxfield Rd, Suite 200, St Charles, IL 60174-5799 Ph: (630) 377-7900 |
Robert Wayne Long, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Tyler Rd, St Charles, IL 60174 Phone: 630-584-2070 | |
Dr. Robert J Calabria, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-513-8275 Fax: 630-513-9208 | |
Elizabeth W Heredia, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-377-7900 Fax: 630-377-8007 | |
Autumn E Bernicky, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd Ste 307, St Charles, IL 60174 Phone: 630-208-3200 Fax: 630-208-3201 | |
Madeline Carol Kwiatkowski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-377-7900 Fax: 630-377-8007 | |
Dr. Kevin Philip Wakeman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-377-6500 | |
Dr. Wilbert H. Hohm, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 S 4th St, St Charles, IL 60174 Phone: 630-584-1496 |