David E Krause MD LTD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036061543 Issued in IL

Legal business name

DAVID E KRAUSE MD LTD

Practice address

475 Brown Blvd Ste 106
Bourbonnais, IL 60914-2325

Phone

(815) 933-8020

Fax

(815) 933-8068

NPI assigned

Dec 4, 2009

Last updated

Oct 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Bell

Title

Practice Administrator

Phone

(779) 301-0975

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Eugene Krause, M.D.

  • Otolaryngology Physician
  • Bourbonnais, IL
  • NPI 1760591879
  Medicare reassignment NPD

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1821326745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 DEER TRL",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149338",
            "telephone_number": "815-351-5912",
            "fax_number": "815-933-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BROWN BLVD STE 106",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142325",
            "telephone_number": "815-933-8020",
            "fax_number": "815-933-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E KRAUSE MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "779-301-0975"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036061543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061543",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Grace Curran, CCC-SLP
• Shawn W. Danahey, O.D.
• Crystal Renee Daniel, MHS, CCC-SLP/L
• Danos Dental, PLLC
• Ajay Das, DDS
• Noel Cowart Davis Jr., D.C.
• Melanie Joy Dean, RBT
• Elizabeth D. Deck, FNP-BC
• John Raymond Dekker, DC
• Christin Demierre, FNP

• Otolaryngology Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.