Kreg Therapeutics, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

203.000565 Issued in IL

Legal business name

KREG THERAPEUTICS, INC.

Practice address

2240 W Walnut St
Chicago, IL 60612-2218

Phone

(312) 829-8904

Fax

(312) 829-8909

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Todd Poulos

Title

Vice President

Phone

(312) 275-7006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1629146014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W WALNUT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122218",
            "telephone_number": "312-829-8904",
            "fax_number": "312-829-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W WALNUT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122218",
            "telephone_number": "312-829-8904",
            "fax_number": "312-829-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREG THERAPEUTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "POULOS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "312-275-7006"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "203.000565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth A Krebs, D.M.D.
• Hanna Krech
• Virginia Katherine Kreckman, MD
• Douglas Krefman, D.C.
• Karen Krefman, M.S. LMFT
• Jennifer Kreger
• Kirsten Marie Kreh, MD
• Dannielle Krehbiel
• Karen Krehbiel
• Edward Krei, M.D.

• Customized Equipment (DME) in Chicago, IL
• Providers in Chicago, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.