Individual
LISA M KUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
4440 W 95TH ST STE 6409, OAK LAWN, IL 60453-2600
(877) 684-4327
(708) 520-1875
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-009621
IL
363LA2200X
Adult Health Nurse Practitioner
209009621
IL
Other
Enumeration date
11/15/2012
Last updated
01/07/2026
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