OrganizationActive
Kreg Therapeutics, Inc.
NPI 1629146014 · Customized Equipment (DME) · Chicago, IL
Provider details
- NPI number
- 1629146014
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Todd Poulos, Vice President(312) 275-7006
- License
- 203.000565 (IL)
Specialties & taxonomies
Suppliers
Practice location
2240 W Walnut St
Chicago, IL 60612-2218
Phone: (312) 829-8904
Fax: (312) 829-8909
Approximate (ZIP-level) locationGet directions
Mailing address
2240 W Walnut St
Chicago, IL 60612-2218
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2012-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.