Individual
DIMETRIUS NUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11515 S PRAIRIE AVE, CHICAGO, IL 60628-5611
(312) 686-4877
Mailing address
730 E 157TH PL, SOUTH HOLLAND, IL 60473-1525
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IL
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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