Provider Demographics
NPI:1982738423
Name:KUNKEL, ANDREW T (DN, LAC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:T
Last Name:KUNKEL
Suffix:
Gender:M
Credentials:DN, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5018 W. ELM ST. SUITE 101
Mailing Address - Street 2:KUNKEL HEALTH CARE
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050
Mailing Address - Country:US
Mailing Address - Phone:815-344-6582
Mailing Address - Fax:
Practice Address - Street 1:5018 W. ELM ST.
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050
Practice Address - Country:US
Practice Address - Phone:815-344-6582
Practice Address - Fax:815-344-6598
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181000280172P00000X, 174400000X
IL198-000-877171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No172P00000XOther Service ProvidersNaprapath
No174400000XOther Service ProvidersSpecialist