Individual
DAVID T KULLGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(847) 524-8800
Mailing address
4157 W FLETCHER ST, CHICAGO, IL 60641-5432
(312) 622-7115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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