Individual
TODD KUIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-087138
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087138
—
IL
01
—
250011908
RAILROAD MEDICARE
IL
01
—
540783143-00
BWC OHIO
—
01
—
P00112915
RAILROAD MEDICARE
IL
Enumeration date
08/01/2006
Last updated
07/21/2022
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