Individual
NANCY DUMITRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 W WARNER AVE STE 101, CHICAGO, IL 60613-1891
(312) 940-2190
Mailing address
3018 N CALIFORNIA AVE, CHICAGO, IL 60618-8495
(773) 240-8086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
53662099855D
IL
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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