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Individual

MR. RICHARD CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
8909 MCCONNELL RD, WOODSTOCK, IL 60098-7459
(773) 251-3658
(773) 561-0937
Mailing address
8909 MCCONNELL RD, WOODSTOCK, IL 60098-7459
(773) 251-3658
(773) 561-0937

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070.008555
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070.008555
PHYSICAL THERAPY LICENSE
IL
Enumeration date
10/06/2015
Last updated
10/06/2015
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