Individual
JEFFREY KUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 W REYNOLDS ST, PONTIAC, IL 61764-9776
(815) 844-4767
(815) 844-4467
Mailing address
1001 W REYNOLDS ST, PONTIAC, IL 61764-9776
(815) 844-4767
(815) 844-4467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051040876
IL
Other
Enumeration date
10/01/2011
Last updated
10/01/2011
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