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Individual

KRIS TOLLKUCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
294 E ARMITAGE AVE, ADDISON, IL 60101-4815
(630) 666-6986
Mailing address
21200 S LAGRANGE RD STE 322, FRANKFORT, IL 60423-2003
(630) 666-6986

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T422-5005-5184
INSURANCE
IL
Enumeration date
09/28/2021
Last updated
01/22/2026
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