Individual
RALPH J. CUSICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 EAST OGDEN AVENUE, SUITE 116, HINSDALE, IL 60521-3655
(630) 325-8893
(632) 325-8939
Mailing address
201 EAST OGDEN AVENUE, SUITE 116, HINSDALE, IL 60521-3655
(630) 325-8893
(632) 325-8939
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-073329
IL
2084P0800X
Psychiatry Physician
036073329
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073329
—
IL
Enumeration date
03/23/2006
Last updated
07/29/2011
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