Individual
ANNTRINIA S GUNBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1946 BUNKER ST, CHICAGO HEIGHTS, IL 60411-4048
(773) 280-2846
Mailing address
1946 BUNKER ST, CHICAGO HEIGHTS, IL 60411-4048
(773) 280-2846
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-3945139
—
IL
Enumeration date
12/18/2019
Last updated
12/18/2019
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