Kracker, David

Kracker, David is an individual health care provider with primary practice located at 1 Erie Ct Suite 4120, Oak Park IL 60302-2566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kracker, David can be contacted via phone (708) 524-4576.

Contact Information

Primary practice address
1 Erie Ct Suite 4120 Oak Park IL 60302-2566
Phone: (708) 524-4576
Fax: (708) 524-5073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036104149 Illinois

Profile Details

NPI number 1194722934
LBN Legal business name Kracker, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194722934 NPPES
Illinois Other 1616108 BCBS
Illinois MEDICAID 036104149 BCBS

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