KREG THERAPEUTICS, INC. (NPI# 1629146014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629146014 |
| Entity Type | Organization |
| Organization Name | KREG THERAPEUTICS, INC. |
| Practice Address |
2240 W Walnut St Chicago IL 60612-2218 |
| Practice Telephone | 3128298904 |
| Practice Fax Number | 3128298909 |
| Mailing Telephone | 3128298904 |
| Mailing Fax Number | 3128298909 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | TODD POULOS (VICE PRESIDENT) |
| Authorized Official Telephone | 3122757006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
203.000565 | IL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013102334 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 11040 Lin Valle Dr, Suite E, Saint Louis, MO 63123-7210 | 2007-09-10 |
| 1831382654 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 1905 Goodson Ct, South Bend, IN 46613-3413 | 2007-08-24 |
| 1477744985 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 1300 Washington Road, Washington, IL 61571-2368 | 2007-08-08 |
| 1326239591 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 14200 West Commerce Road, Daleville, IN 47334 | 2007-08-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KREG THERAPEUTICS, INC | 1940 Janice Ave, Melrose Park, IL 60160-1009 |
| Oklahoma Business Registrations | KREG THERAPEUTICS, INC. | 2240 W Walnut, Chicago, IL 60612 |
| New York State Corporations | KREG THERAPEUTICS, INC. | 1940 Janice Ave, Melrose Park, Il 60160 |
| Indiana Business Entities | KREG THERAPEUTICS, INC. | 2240 W Walnut St, Chicago, IL 60612 |
| Street Address |
2240 W WALNUT ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528509833 | International Medical Equipment Distributors LLC | Durable Medical Equipment & Medical Supplies | 8501 W Higgins Rd Ste 710, Chicago, IL 60631-2883 | 2017-03-20 |
| 1851785224 | Floss Dental Studio PC | Durable Medical Equipment & Medical Supplies | 924 N Damen Ave, Chicago, IL 60622-4948 | 2015-03-24 |
| 1972926012 | Mts Direct Inc | Durable Medical Equipment & Medical Supplies | 4734 S Prairie Ave Unit 1, Chicago, IL 60615-1206 | 2014-01-24 |
| 1659501500 | The Board of Trustees of The University of Illinois | Durable Medical Equipment & Medical Supplies | 811 S Paulina St, 118 Dent, Mc 588, Chicago, IL 60612-4353 | 2009-07-24 |
| 1053549402 | Crowning Glory Lace Wigs | Durable Medical Equipment & Medical Supplies | 8100 S Stony Island Ave, Unit F, Chicago, IL 60617-1734 | 2009-06-24 |
| 1124286927 | Footco Orthopedic | Durable Medical Equipment & Medical Supplies | 3723 N Southport Ave, Chicago, IL 60613-3718 | 2008-05-28 |
| 1528250669 | Premier Podiatry Services, Ltd | Durable Medical Equipment & Medical Supplies | 6374 N Lincoln Ave Ste 303, Chicago, IL 60659-1283 | 2007-08-13 |
| 1083769202 | Luna Medical Inc. | Durable Medical Equipment & Medical Supplies | 1057 W Grand Ave Ste 1, Chicago, IL 60642-6600 | 2007-01-25 |
| 1568417319 | Absolute Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1843 W Hubbard St, Suite 2a, Chicago, IL 60622-6236 | 2006-05-23 |
| 1457897332 | Maria Therese Galang Dmd Ms P C | Durable Medical Equipment & Medical Supplies | 111 N Wabash Ave, Ste 1522, Chicago, IL 60602 | 2017-01-16 |
| Find all providers in CHICAGO | ||||
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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.