# KUCINSKI MEDICAL LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376896506
- **Authorized official:** DR. LAURA JEAN KUCINSKI D.O. (PRESIDENT)
- **Authorized official phone:** (815) 942-8210

## Contact information

- **Practice address:** 114 W WAVERLY ST, MORRIS, IL 60450-1422
- **Practice address phone:** (815) 941-8210
- **Practice address fax:** (815) 941-1584
- **Mailing address:** 114 W WAVERLY ST, MORRIS, IL 60450-1422
- **Mailing address phone:** (815) 941-8210
- **Mailing address fax:** (815) 941-1584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036131189 | IL | Yes |

## Other

- **Enumeration date:** 10/25/2012
- **Last updated:** 04/27/2017