Kruse, Timothy Stephen
Kruse, Timothy Stephen is an sole proprietor health care provider with primary practice located at 750 N Franklin St Ste 102, Chicago IL 60654-6263. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Kruse, Timothy Stephen can be contacted via phone (312) 280-7886.Contact Information
Primary practice address
750 N Franklin St Ste 102
Chicago IL 60654-6263
Phone: (312) 280-7886
Fax: (312) 280-9547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016005211 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | 016005211 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 016-005211 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 016-005211 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016005211 | Illinois |
Profile Details
| NPI number | 1831195841 |
|---|---|
| LBN Legal business name | Kruse, Timothy Stephen |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jun 23rd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831195841 | NPPES |
| Illinois | Other | 00002465026 05 | UNITED HEALTHCARE |
| Illinois | Other | 316-002321 | UNITED HEALTHCARE |
| Illinois | Other | 7032671 | UNITED HEALTHCARE |
| Illinois | Other | 7072691 | UNITED HEALTHCARE |
Popular Providers
-
Akerele, Peter B
2223 E 79Th St , Chicago IL 60649-5016 -
Maghrabi, Michael M
2623 S Lawndale Ave Ste C, Chicago IL 60623-4520 -
Hancock, Peter A
4646 N Marine Dr Ste C-6500, Chicago IL 60640-5759 -
Massuda, Fortunee
1644 E 53Rd St , Chicago IL 60615-4210 -
Alexander, Jeffery H
1611 W Harrison St Ste 510 , Chicago IL 60612-4861 -
Flanagan, John T
6304 N Nagle Ave , Chicago IL 60646-3614 -
Sheffey, Robert J
3260 W 111Th St , Chicago IL 60655 -
Kim, Joseph Sun
5140 N California Ave Ste 515, Chicago IL 60625-3645