Individual
CORINNE BUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153-3328
(708) 327-3436
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125070210
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/22/2017
Last updated
06/06/2017
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