Active NPI
Irvin Martin Kraus, DO
- Professional Counselor
- Naperville, IL
National Provider Identifier
1184652893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3644135
- Practice address
- 475 River Bend Rd
Suite 105
Naperville, IL 60540-5255 - Phone
- (630) 527-1631
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3644135 | IL | Primary |
Addresses
Primary practice location
475 River Bend Rd
Suite 105
Naperville, IL 60540-5255
Mailing address
475 River Bend Rd
Suite 105
Naperville, IL 60540-5255
Phone (630) 527-1631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2219760 | Other | IL | BLUE SHIELD IL PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3644135 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184652893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 RIVER BEND RD",
"address_2": "SUITE 105",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405255",
"telephone_number": "630-527-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 RIVER BEND RD",
"address_2": "SUITE 105",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405255",
"telephone_number": "630-527-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "IRVIN",
"middle_name": "MARTIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "3644135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD IL PROVIDER #",
"identifier": "2219760",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.