IAN JOSEPH KUCKELMAN

CHICAGO, IL
NPI1235998527
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-18
Last Update Date2024-03-18
Business Address
IAN JOSEPH KUCKELMAN
7435 W TALCOTT AVE
CHICAGO, IL 60631-3707
Phone number: 773-990-5261
Mailing Address
IAN JOSEPH KUCKELMAN
7435 W TALCOTT AVE
CHICAGO, IL 60631-3707
Phone number: 773-990-5261
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