RICHARD LANE KUSUNOSE

NORTHBROOK, IL
NPI1124020821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: IL  016003981)
Enumeration Date2005-08-11
Last Update Date2019-01-22
Business Address
Dr. RICHARD LANE KUSUNOSE DPM
40 SKOKIE BLVD STE 520
NORTHBROOK, IL 60062-1601
Phone number: 847-504-5000
Mailing Address
Dr. RICHARD LANE KUSUNOSE DPM
PO BOX 917
NORTHBROOK, IL 60065-0917
Phone number: 847-504-5000