Evonne M. Kuckuck in Glen Carbon - Professional
Evonne M. Kuckuck - NPI 1184798753
Evonne M. Kuckuck is a Professional in Glen Carbon, Illinois. Evonne M. Kuckuck practices all healthcare services and medical treatments related to Professional. The NPI Number for Evonne M. Kuckuck is 1184798753. The last update date is 2007-07-08.
Evonne M. Kuckuck's current location address is 9 Jason Dr, Glen Carbon, Illinois. You can contact this provider via phone number 6186598787 and fax number 6186593579. The mailing address for Evonne M. Kuckuck is 9 Jason Dr, Glen Carbon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evonne M. Kuckuck |
|---|---|
| Address | 9 Jason Dr, Glen Carbon, Illinois |
| Phone Number | 6186598787 |
| Fax Number | 6186593579 |
| Sole Proprietor | N |
| Credentials | LCPC, ATR |
NPI Number Detail
| NPI Number | 1184798753 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9 Jason Dr |
|---|---|
| City | Glen Carbon |
| State | Illinois (IL) |
| Post Code | 620343052 |
| Phone Number | 6186598787 |
| Fax Number | 6186593579 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 670554 | HEALTHLINK HMO & PPO | ||
| 6032019 | IL | BCBS PPO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Evonne M. Kuckuck by the Centers for Medicare & Medicaid Services?
The Evonne M. Kuckuck has been issued the NPI (National Provider Identifier) 1184798753, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Evonne M. Kuckuck is located?
The Evonne M. Kuckuck is situated at the following address: 9 Jason Dr, Glen Carbon, IL, 620343052.
What is Evonne M. Kuckuck's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Evonne M. Kuckuck is Professional, and the taxonomy code that categorizes this field of expertise is 101Yp2500X.
On what date did the Evonne M. Kuckuck receive its 1184798753 assignment from the Centers for Medicare & Medicaid Services?
The Evonne M. Kuckuck was assigned its 1184798753 by the Centers for Medicare & Medicaid Services on 2006-11-17.
When was the information related to Evonne M. Kuckuck most recently updated or refreshed?
The details pertaining to the Evonne M. Kuckuck, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH