Individual
MR. DONALD EUGENE KUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
650 S RANDALL RD, ALGONQUIN, IL 60102-5944
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007173
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085007173
IL PA LICENSE
IL
Enumeration date
07/26/2019
Last updated
09/07/2023
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