Organization
KUCINSKI MEDICAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA JEAN KUCINSKI D.O. (PRESIDENT)
(815) 942-8210
Entity
Organization
Contact information
Practice address
114 W WAVERLY ST, MORRIS, IL 60450-1422
(815) 941-8210
(815) 941-1584
Mailing address
114 W WAVERLY ST, MORRIS, IL 60450-1422
(815) 941-8210
(815) 941-1584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036131189
IL
Other
Enumeration date
10/25/2012
Last updated
04/27/2017
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