Individual
YURI SERGEYEVICH KUKLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3200 W HIGGINS RD STE 101, HOFFMAN ESTATES, IL 60169-2174
(847) 750-6877
(708) 316-8866
Mailing address
1160 WINDBROOKE DR, BUFFALO GROVE, IL 60089-2300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
09/16/2025
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