Kuklewicz, Mark

Kuklewicz, Mark is an individual health care provider with primary practice located at 10330 S Roberts Rd , Palos Hills IL 60465-1971. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kuklewicz, Mark can be contacted via phone (708) 237-7200.

Contact Information

Primary practice address
10330 S Roberts Rd Palos Hills IL 60465-1971
Phone: (708) 237-7200
Fax: (708) 237-7296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-005581 Illinois

Profile Details

NPI number 1649261298
LBN Legal business name Kuklewicz, Mark
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated May 7th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649261298 NPPES
Illinois Other 01620328 BCBS

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