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Individual

OLENA G HUNGERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2222 W DIVISION ST STE 320, CHICAGO, IL 60622-3096
(312) 770-3263
Mailing address
757 45TH AVE, STE. 201, MUNSTER, IN 46321-2911
(219) 934-2461
(219) 934-2478

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD440363
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01072618A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
036142120
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477873693
LICENSE NUMBER 01072618A
IN
Enumeration date
06/10/2010
Last updated
05/16/2025
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