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NPI Code Detail

MEDICARE: DR. GULIN GUNERI-MINTON PSY.D.

MEDICARE: DR. GULIN GUNERI-MINTON PSY.D.
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
1103TC0700XClinical Psychologist071007503IL

General Provider Information

NPI Number : 1164686895
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GULIN GUNERI-MINTON PSY.D.
Provider Business Mailing Address
First Line : 520 N KINGSBURY ST
Second Line : APT. 2008
City : CHICAGO
State : IL
Zip : 60610-8766
Country : US
Telephone Number : 773-426-1616
Fax Number :
Provider Business Practice Location Address
First Line : 3523 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-1137
Country : US
Telephone Number : 773-929-6262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2008
Last Update Date : 07/11/2008

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