Individual
MICHELLE KUNKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 523-2416
Mailing address
33165 N SHANNON DR, GRAYSLAKE, IL 60030-3028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011177
IL
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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