Organization Active NPI

Kras Medical S.C.

  • Dentist
  • Wheeling, IL
National Provider Identifier
1508137464
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KRAS MEDICAL S.C.
Practice address
1532 West Lale Cook Road
Wheeling, IL 60090
Phone
(847) 306-9336
Fax
(847) 306-3565
NPI assigned
Jan 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Dr. Zhana Krasyuk
Title
Owner
Phone
(847) 306-9336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1532 West Lale Cook Road
Wheeling, IL 60090

Mailing address

1532 West Lale Cook Road
Wheeling, IL 60090
Phone (847) 306-9336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1508137464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 WEST LALE COOK ROAD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "847-306-9336",
            "fax_number": "847-306-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 WEST LALE COOK ROAD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "847-306-9336",
            "fax_number": "847-306-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAS MEDICAL S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "KRASYUK",
        "authorized_official_first_name": "ZHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-306-9336",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.