Provider Demographics
NPI:1316961691
Name:KRAUSPE, HARRY F (DDS)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:F
Last Name:KRAUSPE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8015
Mailing Address - Street 2:
Mailing Address - City:ELBURN
Mailing Address - State:IL
Mailing Address - Zip Code:60119-8015
Mailing Address - Country:US
Mailing Address - Phone:630-365-9421
Mailing Address - Fax:630-365-1024
Practice Address - Street 1:400 NORTH MAIN ST.
Practice Address - Street 2:
Practice Address - City:ELBURN
Practice Address - State:IL
Practice Address - Zip Code:60119
Practice Address - Country:US
Practice Address - Phone:630-365-9421
Practice Address - Fax:630-365-1024
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice