Individual
CHAD FRANCO CUCONATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 HAIRPIN DRIVE, EDWARDSVILLE, IL 62026-0001
(618) 650-5688
Mailing address
4345 LARKSPUR LN, LAKE IN THE HILLS, IL 60156-4654
(815) 219-0135
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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