Individual
ERIC KUCHEFSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
611 W. PARK ST., SLEEP MEDICINE, URBANA, IL 61801-2500
(217) 383-3190
(217) 383-7117
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001546
IL
Other
Enumeration date
11/09/2006
Last updated
04/20/2015
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