Eugene Kenneth Kuck Jr.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178014141 Issued in IL

Practice address

4209 W Shamrock LN
McHenry, IL 60050-8700

Phone

(815) 344-9443

NPI assigned

Sep 5, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1043869795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MARENGO RD",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600333424",
            "telephone_number": "815-404-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 W SHAMROCK LN",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508700",
            "telephone_number": "815-344-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCK",
        "first_name": "EUGENE",
        "middle_name": "KENNETH",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cftsap.com",
            "affiliation": "N",
            "address_1": "4209 W Shamrock Ln",
            "city": "McHenry",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600508700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shaina Krugman, MSW
• Oktawia Kruk
• Janessa Jacqueline Kruse
• Michal Jakub Kubiak, M.D.
• Elisabeth Kubiesa
• Michele J Kuhlmeier I
• Anup Kumar, M.D.
• Sneha Kumar
• Andrew T Kunkel, DN., L.AC.
• Sharon Marie Kunkel, PTA

• Professional Counselor in McHenry, IL
• Providers in McHenry, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.