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Anne Judith Krantz

Internal Medicine

Allopathic & Osteopathic Physicians

1901 W Harrison St, Chicago, IL 60612-3714

PECOS Enrollment

This provider is enrolled in PECOS as ANNE KRANTZ.

Based on the most recent information from CMS, provider Anne Judith Krantz is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1023025681
Provider Type
Individual
Full Name
Krantz, Anne Judith
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/3/2006
Last Updated
4/26/2021

Contact Information

Practice Location

1901 W Harrison St, Chicago, IL 60612-3714

(312) 864-6000

Unlisted Fax

Mailing Location

1901 W. Harrison, Chicago, IL 60612-3714

(312) 864-6000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 036072192 Illinois
Code 2083X0100X	Description Preventive Medicine Allopathic & Osteopathic Physicians	License 036-072192 Illinois

Anne Judith Krantz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Smith, Patrika Lecanda

Mennella, Concetta C

Kannayiram, Sandhya Shri

Ahmed, Azazuddin A

Khaqan, Muhammad Ali

Rush University Medical Center

Ashimi, Rashidat A

Alonto, Eileen Anne Vicaldo

Earvolino, Jennifer

Hami, Davin