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General NPI Number Information
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NPI Number | 1417746421
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Entity Type | Individual
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Provider Name | NADINE BUNNI
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 210 N WOLF RD
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City | WHEELING
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State | IL
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Zip | 60090-2922
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Country | US
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Telephone | 847-353-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 125 S WESTERN AVE UNIT 2
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City | CHICAGO
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State | IL
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Zip | 60612-4653
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Country | US
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Telephone | 847-606-8724
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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