Individual
NANCY LYNN KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE # 51, CHICAGO, IL 60611-2991
(312) 227-3550
Mailing address
225 E CHICAGO AVE # 51, CHICAGO, IL 60611-2991
(312) 227-3550
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
36-124466
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056523700
—
MN
Enumeration date
02/03/2006
Last updated
12/11/2024
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