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Dale Kunckel, CSA
NPI 1740524172 · on the registry since 2012
Practice
- Address
- 309 E Rand Rd
Suite 347
Arlington Heights, IL 60004 - Phone
- (419) 351-8944
- Organisation at this address
- Jsa Of Illinois Pc
Suburban Seniors, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 246ZC0007X
246ZC0007X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois