Individual
JESSICA M KUNKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-2000
Mailing address
2438 W HURON ST, CHICAGO, IL 60612-1208
(630) 251-4797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.019058
IL
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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