Individual
LAURA HUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1875 DEMPSTER ST, SUITE 410, PARK RIDGE, IL 60068-1186
(847) 723-9052
(847) 723-9441
Mailing address
1875 DEMPSTER ST, SUITE 410, PARK RIDGE, IL 60068-1186
(847) 723-9052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006026
IL
Other
Enumeration date
01/11/2017
Last updated
04/11/2017
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