Individual
DR. ALAN D. BUNTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
630 VERNON AVE, SUITE G, GLENCOE, IL 60022-1681
(847) 835-1770
Mailing address
630 VERNON AVE, SUITE G, GLENCOE, IL 60022-1681
(847) 835-1770
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
712477
IL
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
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