Individual
CHRISTOPHER MIRACLE GBUNNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 W COLLEGE DR STE 102, PALOS HEIGHTS, IL 60463-1181
(708) 296-0230
Mailing address
6603 S RHODES AVE APT 1N, CHICAGO, IL 60637-4144
(872) 808-9152
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209034417
IL
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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