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NPI Code Detail

MEDICARE: DUNIA MARDINI DO

MEDICARE: DUNIA MARDINI DO
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
1207Q00000XFamily Medicine Physician036171124IL

General Provider Information

NPI Number : 1427637040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUNIA MARDINI DO
Provider Business Mailing Address
First Line : 2750 W NORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5247
Country : US
Telephone Number : 312-666-3494
Fax Number :
Provider Business Practice Location Address
First Line : 2835 N SHEFFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5081
Country : US
Telephone Number : 773-472-3704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2021
Last Update Date : 08/26/2024

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Directions to “ DUNIA MARDINI DO” Practice Location

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