Evelina Kratunova, BDS, MDS, DCHDENT

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

136000200 Issued in IL

Practice address

801 S Paulina St # Mc850
Room 269-C Pediatric Dentistry
Chicago, IL 60612-7210

Phone

(312) 996-1984

Fax

(312) 413-1638

NPI assigned

Sep 9, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ekratunova68522@uihealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Board of Trustees of the University of Illinois

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1386863819
  Medicare reassignment NPD
• Board of Trustees Fo the University of Illinois

  • Oral and Maxillofacial Surgery (Dentist)
  • Chicago, IL
  • NPI 1326483991
  NPD
• The Board of Trustees of the University of Illinois

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1093183907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S PAULINA ST # MC850",
            "address_2": "ROOM 269-C PEDIATRIC DENTISTRY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127210",
            "telephone_number": "312-996-1984",
            "fax_number": "312-413-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S PAULINA ST # MC850",
            "address_2": "ROOM 269-C PEDIATRIC DENTISTRY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127210",
            "telephone_number": "312-996-1984",
            "fax_number": "312-413-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATUNOVA",
        "first_name": "EVELINA",
        "name_prefix": "Dr.",
        "credential": "BDS, MDS, DCHDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "136000200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iwona Krasnowska-Guzek, M.A.
• Dustin Andrew Krassin, O.D.
• Emily Kraszyk, PA-C
• Katherine Krates, M.A., CCC-SLP
• Caroline Elisabeth Kratka
• Alexis Danielle Kraus, LCSW
• Lisa Kraus
• Pamela Jean Kraus, LCPC, MBA
• Shelley Jo Kraus, OTR/L
• Aubrie Krause, PT, DPT

• Pediatric Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.