Individual
MS. DAFNA Y NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA IN SPECIAL ED
Contact information
Practice address
931 BRUMMEL ST APT 1, EVANSTON, IL 60202-5116
(773) 715-1110
Mailing address
931 BRUMMEL ST APT 1, EVANSTON, IL 60202-5116
(773) 715-1110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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