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Anthony Ray Kudra III
Student in an Organized Health Care Education/Training Program in Crete, Illinois
NPI 1881120046

Anthony Ray Kudra III is a Student in an Organized Health Care Education/Training Program based in Crete, IL. Anthony Ray Kudra III practices in Crete, IL. The NPI Number for Anthony Ray Kudra III is 1881120046 and holds a License No. (Illinois).

The current practice location address for Anthony Ray Kudra III is 860 Berkshire Place, Crete, IL and can be reached out via phone at 708-860-7479.

Location: 860 Berkshire Place, Crete, IL, 60417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881120046
Provider Name
Anthony Ray Kudra III
Credential
Provider Entity Type
Individual
Gender
Male
Address
860 Berkshire Place, Crete, IL, 60417
Phone Number
708-860-7479
Fax Number
Provider Enumeration Date
05/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
860 Berkshire Place
City
Crete
State
Illinois
Zip
60417
Phone Number
708-860-7479
Fax Number
person
Provider Business Mailing Address Details
Address
860 Berkshire Place
City
Crete
State
Illinois
Zip
60417
Phone Number
708-860-7479
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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