Provider Demographics
NPI:1518909753
Name:FORCADE, EMILY KUKULA (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KUKULA
Last Name:FORCADE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9223 KEELER AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1627
Mailing Address - Country:US
Mailing Address - Phone:847-933-0315
Mailing Address - Fax:
Practice Address - Street 1:333 N. MICHIGAN AVE
Practice Address - Street 2:SUITE 325
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-3909
Practice Address - Country:US
Practice Address - Phone:312-422-0279
Practice Address - Fax:312-345-1789
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0599432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry