Individual
MS. DANA DUNLEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
591 MIDNIGHT PASS, ANTIOCH, IL 60002-2473
(847) 208-0986
Mailing address
591 MIDNIGHT PASS, ANTIOCH, IL 60002-2473
(847) 208-0986
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
160.001628
IL
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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