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Individual

JESSICA WUNDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
5025 N PAULINA ST, CHICAGO, IL 60640
(773) 271-9040
Mailing address
405 AMESBURY DR, SMITHVILLE, MO 64089-9625
(402) 216-8249

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209012424
IL

Other

Enumeration date
01/12/2015
Last updated
06/14/2018
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