Richard Lane Kusunose in Northbrook - Foot & Ankle Surgery
Richard Lane Kusunose - NPI 1124020821
Richard Lane Kusunose is a Foot & Ankle Surgery in Northbrook, Illinois. Richard Lane Kusunose practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Richard Lane Kusunose is 1124020821. The last update date is 2019-01-22.
Richard Lane Kusunose's current location address is Po Box 917, Northbrook, Illinois. You can contact this provider via phone number 8475045000 and fax number 8475045015. The mailing address for Richard Lane Kusunose is Po Box 917, Northbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Lane Kusunose |
|---|---|
| Address | Po Box 917, Northbrook, Illinois |
| Phone Number | 8475045000 |
| Fax Number | 8475045015 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1124020821 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2019-01-22 |
Provider Mailing Address Detail
| Address | Po Box 917 |
|---|---|
| City | Northbrook |
| State | Illinois (IL) |
| Post Code | 600650917 |
| Phone Number | 8475045000 |
| Fax Number | 8475045015 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 16003981 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480013283 | IL | MEDICARE - TRA | |
| 16003981 | IL | -- | |
| 600-01725 | IL | IL BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard Lane Kusunose by the Centers for Medicare & Medicaid Services?
The Richard Lane Kusunose has been issued the NPI (National Provider Identifier) 1124020821, 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 Richard Lane Kusunose is located?
The Richard Lane Kusunose is situated at the following address: Po Box 917, Northbrook, IL, 600650917.
What is the Richard Lane Kusunose's area of specialization and corresponding taxonomy classification?
The Richard Lane Kusunose's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.
When did the Richard Lane Kusunose receive its 1124020821?
The Richard Lane Kusunose was issued its 1124020821 on 2005-08-11, which is the date when the organization was assigned this unique identifier.
When was the information regarding Richard Lane Kusunose most recently updated?
The details pertaining to the Richard Lane Kusunose, including its address, specialty, and other relevant information, were last refreshed on 2019-01-22.