Individual
LORETTA KULCZYCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2425 W 22ND ST, OAK BROOK, IL 60523-1245
(630) 235-2923
Mailing address
343 W. MAPLE ST, LOMBARD, IL 60148
(630) 235-2923
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
041.291103
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
CASH PAYING
IL
Enumeration date
09/18/2017
Last updated
07/21/2022
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