Andrea Ann Krasinski, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036063535 Issued in IL

Practice address

1400 W 47 St
St 1
La Grange, IL 60525

Phone

(708) 352-3625

Fax

(708) 352-6304

NPI assigned

Jan 9, 2007

Last updated

Jun 11, 2010By the provider in NPPES

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

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1194874248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 47 ST",
            "address_2": "ST 1",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "708-352-3625",
            "fax_number": "708-352-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 47 ST",
            "address_2": "ST 1",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "708-352-3625",
            "fax_number": "708-352-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASINSKI",
        "first_name": "ANDREA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036063535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036063535",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leo Koenig, MD
• Winfred Kofi Kokor, M.D
• Sheela D Konda, M.D, PH.D
• Kelly Konkey, LCSW
• Maria Teresa Koumantos
• Ken R Krebs, DC
• Jacob Krehel, MD
• Kris Maynard LCSW LTD (Stillpath Therapy and Associates)
• Catherine Kupczyk, OTR/L, CET,CLT-LANA
• Lactation Care Connection, LLC

• Internal Medicine Physician in La Grange, IL
• Providers in La Grange, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.