Individual
DALE W KUNCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
309 E RAND RD, SUITE 347, ARLINGTON HEIGHTS, IL 60004-3103
(419) 351-8944
Mailing address
309 E RAND RD, SUITE 347, ARLINGTON HEIGHTS, IL 60004-3103
(877) 230-9617
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
2995
OH
Other
Enumeration date
11/26/2012
Last updated
11/27/2012
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