Individual
JENNIFER ABIGAIL BUNAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6704 ASPEN LN APT 6, WESTMONT, IL 60559-3317
(630) 915-0533
Mailing address
6704 ASPEN LN APT 6, WESTMONT, IL 60559-3317
(630) 915-0533
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005013
IL
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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