MEDICARE: ANNA NUNGESTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	6352001043	MI

General Provider Information

NPI Number	:	1588503189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA NUNGESTER

Provider Business Mailing Address
First Line	:	5511 BRIARHILL DR
Second Line	:
City	:	FLOYDS KNOBS
State	:	IN
Zip	:	47119-9599
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 E SUPERIOR ST STE 309
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2528
Country	:	US
Telephone Number	:	312-754-9404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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