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Individual

DR. ANA LAURA NUNEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY. D.

Contact information

Practice address
3166 N LINCOLN AVE, STE. 314, CHICAGO, IL 60657-3133
(312) 909-1007
(773) 327-4542
Mailing address
4724 S JUSTINE ST, CHICAGO, IL 60609-4236
(773) 366-9266

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007482
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R03002
MEDICARE
IL
Enumeration date
06/12/2008
Last updated
01/12/2009
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