Provider Demographics
NPI:1801832076
Name:CUNAT, RONALD F (PHD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:F
Last Name:CUNAT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21W570 KENSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-7012
Mailing Address - Country:US
Mailing Address - Phone:630-858-2478
Mailing Address - Fax:
Practice Address - Street 1:HINES VA MEDICAL CENTER
Practice Address - Street 2:AMBULATORY CARE COMP AND PENSION
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-7957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical