DR. RICHARD C KRUEGER JR. (NPI# 1497784862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497784862 |
| Entity Type | Individual |
| Full Name | DR. RICHARD C KRUEGER JR. |
| Credential | M.D., PH.D. |
| Practice Address |
2836 W 98th Pl Evergreen Park IL 60805-2613 |
| Practice Telephone | 5055061090 |
| Practice Fax Number | 8887348467 |
| Mailing Telephone | 5055061090 |
| Mailing Fax Number | 8887348467 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2015-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
2012003667 | MO | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
28859 | OK | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
01069425A | IN | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
21987 | MS | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD 60132358 | WA | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
036.084830 | IL | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
G85014 | CA | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD2006-069 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000745199 | 01 |
| CA | 75929856 | 05 | |
| IN | 201046030 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598845356 | Richard Bohn Krueger | Psychiatry & Neurology | 210 East 68th Street, Suite 1h, New York, NY 10021-6024 | 2006-10-16 |
| 1548285919 | Richard Thomas Krueger | Dentist | 246 Vincent Avenue, Chappell, NE 69129-0468 | 2006-07-13 |
| 1780837344 | Richard Krueger | Pharmacist | 3675 E Britannia Dr, Tucson, AZ 85706-5041 | 2008-10-28 |
| Street Address |
2836 W 98TH PL |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043767841 | Gail Sharon Haiken | Pediatrics | 5303 Regents Park Rd, Rockford, IL 61107-5092 | 2016-09-08 |
| 1871910976 | Jessica Lahn Chiang | Pediatrics | 1775 Dempster St # 54, Park Ridge, IL 60068-1143 | 2014-03-26 |
| 1669806667 | Ricardo Tomas Rosenkranz | Pediatrics | 1200 N Lake Shore Dr, Apt. 904, Chicago, IL 60610-2370 | 2013-08-26 |
| 1063845626 | Kala Sukerkar | Pediatrics | 2406 Indian Ridge Dr, Glenview, IL 60026-1030 | 2013-08-18 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1447516257 | John Vincent Hartline | Pediatrics | 1259 Prestwick Ln, Itasca, IL 60143-1975 | 2012-04-05 |
| 1780979302 | Kelly Nelson Kelly | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1447 | 2011-06-11 |
| 1255623997 | Venkata Sasidhar Majjiga | Pediatrics | 301 N 8th Street, Siu School of Medicine, Pediatrics, Room 3a169, Springfield, IL 62794 | 2011-05-13 |
| 1700187531 | Ursula Patricia Colareta Ugarte | Pediatrics | 1444 Carol St Apt A, Park Ridge, IL 60068-1290 | 2010-11-10 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.