DAVID KRACKER (NPI# 1194722934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194722934 |
| Entity Type | Individual |
| Full Name | DAVID KRACKER |
| Credential | MD |
| Practice Address |
1 Erie Ct Suite 4120 Oak Park IL 60302-2566 |
| Mailing Address |
855 Madison St Oak Park IL 60302-4420 |
| Practice Telephone | 7085244576 |
| Practice Fax Number | 7085245073 |
| Mailing Telephone | 7084924077 |
| Mailing Fax Number | 7083862839 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036104149 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036104149 | 05 | |
| IL | BCBS | 1616108 | 01 |
| Street Address |
1 ERIE CT SUITE 4120 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861691 | Nagulapalli S Rao | Specialist | 1 Erie Ct, Ste 7160, Oak Park, IL 60302-2510 | 2005-06-16 |
| 1528531837 | Pipeline Midwest Pharmacies, LLC | Pharmacy | 1 Erie Ct, Oak Park, IL 60302-2566 | 2019-01-09 |
| 1326577057 | Joanna Marie Curran | Family Medicine | 1 Erie Ct, Oak Park, IL 60302-2566 | 2017-06-06 |
| 1033660303 | Megan L Mccaleb | Physician Assistant | 1 Erie Ct, Suire 7120, Oak Park, IL 60302-2566 | 2016-10-20 |
| 1760936090 | Genti Manco | Nurse Practitioner | 1 Erie Ct, Oak Park, IL 60302-2566 | 2016-08-03 |
| 1699137869 | Morgan Crandall | Physician Assistant | 1 Erie Ct, Suite 7120, Oak Park, IL 60302-2566 | 2016-03-25 |
| 1760854020 | Forefront Dermatology, S.c. | Dermatology | 1 Erie Ct, Suite 4010, Oak Park, IL 60302 | 2015-10-27 |
| 1154700557 | Haley Combs | Student in an Organized Health Care Education/Training Program | 1 Erie Ct, Suite 6160, Oak Park, IL 60302-2566 | 2015-05-19 |
| 1023497344 | Jacob Shaw | Family Medicine | 1 Erie Ct, Oak Park, IL 60302 | 2015-05-19 |
| 1225428774 | Ashleigh Jardine | Physical Therapist | 1 Erie Ct, Suite 7120, Oak Park, IL 60302-2566 | 2015-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578955654 | R. Gandhi Md S C | Internal Medicine | 602 N East Ave, Oak Park, IL 60302-1716 | 2015-02-25 |
| 1932173705 | Nanda G Salem | Internal Medicine | 10861 W 10 Mile Rd, Oak Park, MI 48237-1745 | 2006-02-16 |
| 1053313072 | Paul Balter | Internal Medicine | 855 Madison St, Oak Park, IL 60302-4420 | 2005-08-10 |
| 1154675528 | Nani Elk Grove | Internal Medicine | 855 Madison St, Nephrology Associates of Northern Illinois, Oak Park, IL 60302-4420 | 2012-11-06 |
| 1578505814 | Nephrology Associates of Northern Indiana, PC | Internal Medicine | 855 Madison St, Oak Park, IL 60302-4420 | 2006-06-12 |
| 1124069182 | Nephrology Associates of Northern Illinois Ltd | Internal Medicine | 855 Madison St, Oak Park, IL 60302-4420 | 2006-06-09 |
| 1750383527 | Kathleen Dorgan | Internal Medicine | 1 Erie Ct, Suite4120, Oak Park, IL 60302-2566 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987618 | Kireet Agrawal Incorporated | Internal Medicine | 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 | 2019-05-10 |
| 1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
| 1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
| 1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
| 1013301605 | Anand Ramadorai | Internal Medicine | 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 | 2015-03-23 |
| 1619389715 | Kidney Care Center Olympia Fields LLC | Internal Medicine | 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 | 2014-05-22 |
| 1548687783 | Salim Mujais | Internal Medicine | 2742 The Mews, Northbrook, IL 60062-2617 | 2014-03-26 |
| 1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
| 1649616822 | Bun Siu L. Co | Internal Medicine | 838 Highland Rd., Frankfort, IL 60423 | 2013-05-15 |
| 1366781171 | Msa Alliance, LLC | Internal Medicine | 624 Vons-jost, Waterloo, IL 62298-1592 | 2013-02-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.