Corazon G Krakau

Primary specialty

HomemakerTaxonomy code 376J00000X

License

3001579 Issued in IL

Practice address

123 E Lake St Ste 204
Bloomingdale, IL 60108-1100

Phone

(773) 886-8277

Fax

(847) 278-1189

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By 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 names 1

• Corazon G Krakau Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1528777877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E LAKE ST STE 204",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081100",
            "telephone_number": "773-886-8277",
            "fax_number": "847-278-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E LAKE ST STE 204",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081100",
            "telephone_number": "773-886-8277",
            "fax_number": "847-278-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKAU",
        "first_name": "CORAZON",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IL",
            "license": "3001579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORAZON",
            "last_name": "KRAKAU",
            "middle_name": "G",
            "credential": "ACCOUNTANT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carol Lynn Kopke, O.D.
• Pranav K Koshiya, RPH
• Ira Kosta
• Alicja Kostka, PTA
• Tejash Kothari, PHARM D-RPH
• Jessica Krause
• Trent Kucera, DPT, CSCS
• Patricia Kukulski, COTA/L
• Nehal Kumar, PHARM.D
• Vijay Kumar, MD

• Homemaker in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Homemaker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.