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Mini Kuncheria

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1355 Remington Rd, Suite H, Schaumburg, IL 60173-4832

PECOS Enrollment

Based on the most recent information from CMS, provider Mini Kuncheria is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:50 AM.

Profile Details

Provider ID
1841721487
Provider Type
Individual
Full Name
Kuncheria, Mini
Gender
Female

Sole Proprietor
Yes
Enumeration Date
3/24/2017
Last Updated
3/24/2017

Contact Information

Practice Location

1355 Remington Rd, Suite H, Schaumburg, IL 60173-4832

(630) 701-9009

Unlisted Fax

Mailing Location

1355 Remington Rd, Suite H, Schaumburg, IL 60173-4832

(630) 701-9009

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209015790 Illinois

Mini Kuncheria

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Klima, Izabella

Woundcare Unlimited

Barrientos, Larry

Comas, Rebecca

Houk, Amanda J

Varghese, Rachel

Sunny, Geetha

Amaya, Marissa De La Paz

Chevron, Julia

Curry, Lisa Catherine