Individual
ANTHONY MICHAEL CUKIERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9400 SOUTHWEST HWY, OAK LAWN, IL 60453-2372
(708) 424-5200
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(855) 692-8478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003117
IL
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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