Individual
MRS. JACIE J KUCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T. D.P.T.
Contact information
Practice address
233 E ERIE ST, SUITE 404, CHICAGO, IL 60611-2926
(312) 274-1100
(312) 274-1103
Mailing address
233 E ERIE ST, SUITE 404, CHICAGO, IL 60611-2926
(312) 274-1100
(312) 274-1103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070009635
IL
Other
Enumeration date
04/30/2008
Last updated
11/03/2008
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