Quentin R Kasuboski NP

NPI 1073595971 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1073595971
Gender Male
Enumeration Date 11/16/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
10400 75TH ST
KENOSHA WI, 53142-7884, US
Phone (262) 697-7000
Fax (630) 734-1560
Business Location
PO BOX 3043
OAK BROOK IL, 60522-3043, US
Phone (630) 734-0200
Fax (630) 734-1560
Taxonomy Code 363L00000X
License State
License Number
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According to our database, Quentin R Kasuboski NP NPI is 1073595971, taxonomy code is 363L00000X Quentin R Kasuboski NP physically located at 10400 75th St, Kenosha WI, 53142-7884. NPI Number Quentin R Kasuboski NP has the Individual type.

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1073595971 NPI number is provided on an as is basis without warranty of any kind. 1073595971 is maintained by the National Plan & Provider Enumeration System. The contents of Quentin R Kasuboski NP are for informational purposes only.