Individual
BARBARA KAPUSCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2896 DARTMOUTH LN, WEST DUNDEE, IL 60118-1771
(630) 337-6640
Mailing address
2896 DARTMOUTH LN, WEST DUNDEE, IL 60118-1771
(630) 337-6640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.005603
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K12206053814
DRIVER'S LICENCE
IL
Enumeration date
02/08/2016
Last updated
02/08/2016
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