Individual
CONRAD ORRMAL DUNCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
(312) 942-3113
Mailing address
1425 W FILLMORE ST APT 3, CHICAGO, IL 60607-0027
(224) 522-8785
(312) 942-3113
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209019350
IL
Other
Enumeration date
07/11/2019
Last updated
09/03/2019
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