Individual
DENISE BUNGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
736 SW WASHINGTON ST STE 2A, PEORIA, IL 61602-1643
(309) 497-0300
(309) 272-0004
Mailing address
20804 N DEER BLUFFS DR, CHILLICOTHE, IL 61523-9766
(309) 573-1341
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.024462
IL
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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