Individual
RICHARD A KUBE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7620 N. UNIVERSITY, STE. 104, PEORIA, IL 61614
(309) 691-7774
Mailing address
P.O. BOX 5173, PEORIA, IL 61601-5173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-112907
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112907
—
IL
Enumeration date
11/08/2005
Last updated
11/21/2025
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