Individual
ANTHONY RAY KUDRA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 BERKSHIRE PLACE, CRETE, IL 60417
(708) 860-7479
Mailing address
860 BERKSHIRE PLACE, CRETE, IL 60417
(708) 860-7479
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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