Provider Demographics
NPI:1194779595
Name:ORLIN-KRAFF, CARYN (MD)
Entity type:Individual
Prefix:DR
First Name:CARYN
Middle Name:
Last Name:ORLIN-KRAFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 E. WASHINGTON STREET
Mailing Address - Street 2:SUITE 606
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1731
Mailing Address - Country:US
Mailing Address - Phone:312-444-1111
Mailing Address - Fax:312-444-1953
Practice Address - Street 1:25 E. WASHINGTON STREET
Practice Address - Street 2:SUITE 606
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1731
Practice Address - Country:US
Practice Address - Phone:312-444-1111
Practice Address - Fax:312-444-1953
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-078321207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180015351OtherRAILROAD MEDICARE
IL036078321Medicaid
IL180015351OtherRAILROAD MEDICARE
ILF27608Medicare UPIN
IL977090Medicare ID - Type Unspecified