Individual
EMILY CATHERINE KUBACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3330 SKOKIE VALLEY RD STE 200, HIGHLAND PARK, IL 60035-1041
(847) 386-7744
Mailing address
2242 N 63RD ST, WAUWATOSA, WI 53213-1558
(414) 416-3005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14511-33
WI
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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