Individual
MS. CYNTHIA JUNE CLARK-BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 926-8369
(312) 926-8341
Mailing address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 926-8369
(312) 926-8341
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2022005931
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209025457
IL
Other
Enumeration date
07/04/2021
Last updated
01/06/2026
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