Individual
DR. PAULINA A KUCHINIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, BLDG 101 ROOM 1739, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, BLDG 101 ROOM 1739, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036104081
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-104081-1
—
IL
Enumeration date
07/29/2005
Last updated
07/26/2021
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