Richard Lane Kusunose, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016003981 Issued in IL

Practice address

40 Skokie Blvd Ste 520
Northbrook, IL 60062-1601

Phone

(847) 504-5000

Fax

(847) 504-5015

NPI assigned

Aug 11, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1124020821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650917",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SKOKIE BLVD STE 520",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621601",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSUNOSE",
        "first_name": "RICHARD",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - TRA",
            "identifier": "480013283",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003981",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL BC/BS",
            "identifier": "600-01725",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayleen Kuhn, MA, LCPC
• Binyomin Kulek
• Jerry Kurkcu
• Marie Kurnick
• Jennifer Lynn Kurth, DO
• Katherine Grace Kuzel
• L W Henselman DDS PC
• Jacqueline Nicole La Rocc, RBT-19-80214
• Kimberley Labarge, LCPC, NCC
• Laboratory Corporation of America Holdings

• Foot & Ankle Surgery Podiatrist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.