| Dawn M Kusinski | |
|
863 Center Ct Unit A Shorewood IL 60404-8512 | |
| (505) 412-9185 | |
| Not Available |
| Full Name | Dawn M Kusinski |
|---|---|
| Speciality | Counselor - Professional |
| Location | 863 Center Ct Unit A, Shorewood, Illinois |
| Authorized Official Name and Position | Dawn Kusinski (PROVIDER/OWNER) |
| Authorized Official Contact | 5054129185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn M Kusinski 863 Center Ct Unit A Shorewood IL 60404-8512 Ph: () - | Dawn M Kusinski 863 Center Ct Unit A Shorewood IL 60404-8512 Ph: (505) 412-9185 |
| NPI Number | 1013307586 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 02/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013307586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178.009423 (Illinois) | Primary |
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