Individual
KATHLEEN CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
6206 EAGLE RIDGE DR, GURNEE, IL 60031-4713
(847) 918-8949
Mailing address
6206 EAGLE RIDGE DR, GURNEE, IL 60031-4713
(847) 918-8949
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056001312
IL
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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