Individual
EVANGELIA KYRIAKOS CUCURAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1101 31ST ST STE 110, DOWNERS GROVE, IL 60515-5562
(630) 929-0122
Mailing address
4535 CLEARWATER LN, NAPERVILLE, IL 60564-6135
(630) 770-7347
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.014547
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QME921584518
BLUECROSS BLUESHIELD OF ILLINOIS
IL
Enumeration date
11/01/2021
Last updated
11/01/2021
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