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Contact Information

TIMOTHY S KRUSE, DPM
750 N FRANKLIN ST
STE 102
CHICAGO, IL60654-6263
 Phone: 312-280-7886
 Fax: 312-280-9547
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Public Health

213EP0504X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TIMOTHY S KRUSE · (Male)

NPI Number 1831195841
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/23/2005
Last updated 06/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016-005211
  • IL License # 016005211
  • IL Other 7032671 AETNA
  • IL Other 7072691 CIGNA
  • IL Other 316-002321 CSR
  • IL Other 00002465026 05 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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