person
Dr. Richard Lane Kusunose, DPM
Foot & Ankle Surgery Podiatrist in Northbrook, Illinois
NPI 1124020821

Richard Lane Kusunose is a Foot & Ankle Surgery Podiatrist based in Northbrook, IL and is specialized in Foot & Ankle Surgery. Richard Lane Kusunose practices in Northbrook, IL and has the professional credentials of DPM. The NPI Number for Richard Lane Kusunose is 1124020821 and holds a License No. 016003981 (Illinois).

The current practice location address for Richard Lane Kusunose is 40 Skokie Blvd Ste 520, Northbrook, IL and can be reached out via phone at 847-504-5000 and via fax at 847-504-5015. You can also correspond with Richard Lane Kusunose through the mailing address at PO BOX 917, NORTHBROOK, IL - 60065-0917 (mailing address contact number: 847-504-5000).

Location: 40 Skokie Blvd Ste 520, Northbrook, IL, 60065-0917
person
Provider Profile Details
NPI Number
1124020821
Provider Name
Richard Lane Kusunose
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
40 Skokie Blvd Ste 520, Northbrook, IL, 60065-0917
Phone Number
847-504-5000
Fax Number
847-504-5015
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
480013283 01 IL MEDICARE - TRA
016003981 05 IL
600-01725 01 IL IL BC/BS
institution
Provider Business Practice Location Address Details
Address
40 Skokie Blvd Ste 520
City
State
Zip
60062-1601
Phone Number
847-504-5000
Fax Number
847-504-5015
person
Provider Business Mailing Address Details
Address
Po Box 917
City
State
Zip
60065-0917
Phone Number
847-504-5000
Fax Number
847-504-5015
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016003981 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.