Kuklov, Yuri Sergeyevich

Kuklov, Yuri Sergeyevich is an sole proprietor health care provider with primary practice located at 455 S Roselle Rd Ste 104 , Schaumburg IL 60193-2966. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kuklov, Yuri Sergeyevich can be contacted via phone (847) 352-5511.

Contact Information

Primary practice address
455 S Roselle Rd Ste 104 Schaumburg IL 60193-2966
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1578103974
LBN Legal business name Kuklov, Yuri Sergeyevich
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2020
Last updated Jan 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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