Healthcare Provider Details

I. General information

NPI: 1275483539
Provider Name (Legal Business Name): KATHERINE GRACE KUZEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 DUNDEE RD
NORTHBROOK IL
60062-2303
US

IV. Provider business mailing address

3300 DUNDEE RD
NORTHBROOK IL
60062-2303
US

V. Phone/Fax

Practice location:
  • Phone: 847-272-5111
  • Fax:
Mailing address:
  • Phone: 847-272-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: