Panorea Mathews-kukla MD

NPI 1093782617 - Pediatrics - 208000000X

NPI Details
NPI 1093782617
Gender Female
Enumeration Date 03/02/2006
Last Updated 01/25/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
430 PENNSYLVANIA AVE
GLEN ELLYN IL, 60137-4464, US
Phone (630) 469-9200
Fax
Business Location
1860 PAYSPHERE CIR
CHICAGO IL, 60674-0018, US
Phone (630) 469-9200
Fax
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 036106634
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According to our database, Panorea Mathews-kukla MD NPI is 1093782617, taxonomy code is 208000000X and license number is 036106634, license state is located at Illinois. Panorea Mathews-kukla MD physically located at 430 Pennsylvania Ave, Glen Ellyn IL, 60137-4464. NPI Number Panorea Mathews-kukla MD has the Individual type.

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1093782617 NPI number is provided on an as is basis without warranty of any kind. 1093782617 is maintained by the National Plan & Provider Enumeration System. The contents of Panorea Mathews-kukla MD are for informational purposes only.