Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacey Kruse, MD

Individual provider Dermatology Physician · NPI 1366670382

Lacey Kruse, MD is a Dermatology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

225 E Chicago Ave
Chicago, IL 60611-2991
Phone: (312) 909-9130
Fax: (217) 545-7438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036.135447 (IL)

Record details

NPI number1366670382
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2009
Last updated in NPPESOctober 15, 2024
Certification dateOctober 10, 2024
Mailing addressAnn & Robert H. Lurie Children'S Hospital Of Chicago, 225 E Chicago Ave., Chicago, IL 60611

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