Krouse, Richard
Krouse, Richard is an individual health care provider with primary practice located at 430 Warrenville Rd Ste 210 , Lisle IL 60532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Krouse, Richard can be contacted via phone (630) 873-8875.Contact Information
Primary practice address
430 Warrenville Rd Ste 210
Lisle IL 60532
Phone: (630) 873-8875
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036072571 | Illinois |
Profile Details
| NPI number | 1881661759 |
|---|---|
| LBN Legal business name | Krouse, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Aug 9th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881661759 | NPPES |
| Illinois | MEDICAID | 036072571 |
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