ERIC LEE KAPUSTKA

PARK RIDGE, IL
NPI1710928692
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  036-088345)
Enumeration Date2006-06-09
Last Update Date2024-09-25
Business Address
ERIC LEE KAPUSTKA M.D
1775 W DEMPSTER ST
PARK RIDGE, IL 60068-1143
Phone number: 847-723-2210
Mailing Address
ERIC LEE KAPUSTKA M.D
255 W MICHIGAN AVE PO BOX 1123
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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