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Paul Kasunic, DO
Military Health Care Provider in O Fallon, Illinois
NPI 1447956669

Paul Kasunic is a Military Health Care Provider based in O Fallon, IL. Paul Kasunic practices in O Fallon, IL and has the professional credentials of DO. The NPI Number for Paul Kasunic is 1447956669 and holds a License No. 125.082822 (Illinois).

The current practice location address for Paul Kasunic is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL and can be reached out via phone at 618-256-9355 and via fax at 618-206-2332.

Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL, 62269-1284
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447956669
Provider Name
Paul Kasunic
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL, 62269-1284
Phone Number
618-256-9355
Fax Number
618-206-2332
Provider Enumeration Date
01/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 Saint Elizabeth Blvd Ste 4000
City
O Fallon
State
Illinois
Zip
62269-1284
Phone Number
618-256-9355
Fax Number
618-206-2332
person
Provider Business Mailing Address Details
Address
3 Saint Elizabeth Blvd Ste 4000
City
O Fallon
State
Illinois
Zip
62269-1284
Phone Number
618-256-9355
Fax Number
618-206-2332
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
125.082822 (Illinois)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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