Individual
TERESA L CUCCIA-KAWAKAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
856 ORLAND SQUARE DR, ORLAND PARK, IL 60462-3223
(708) 403-3060
Mailing address
127 GRANT AVE, FRANKFORT, IL 60423-1262
(815) 469-7598
(708) 403-1739
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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