Individual
RAYMOND L KACICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 S 6TH AVE # 1-11C, TUCSON, AZ 85723-5104
(520) 429-2580
(520) 629-4976
Mailing address
3601 S 6TH AVE # 1-11C, TUCSON, AZ 85723-0001
(520) 429-2580
(520) 629-4976
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-086191
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036-086191
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086191
—
IL
01
—
060021806
RAILROAD
IL
Enumeration date
10/19/2006
Last updated
03/17/2018
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