Healthcare Provider Details

I. General information

NPI: 1992398390
Provider Name (Legal Business Name): ALISON NICOLE LUNAU DNP, CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E CHICAGO AVE
CHICAGO IL
60611-2991
US

IV. Provider business mailing address

2120 N SHEFFIELD AVE APT 1F
CHICAGO IL
60614-4232
US

V. Phone/Fax

Practice location:
  • Phone: 312-227-1900
  • Fax:
Mailing address:
  • Phone: 586-876-1631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041446516
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: