Individual
JAZMIN BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S CALUMET AVE APT 711, CHICAGO, IL 60616-1566
(312) 505-0536
Mailing address
2001 S CALUMET AVE APT 711, CHICAGO, IL 60616-1566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041458945
IL
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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