Bunch, Andrea
Bunch, Andrea is an individual health care provider with primary practice located at 5414 N Broadway St , Chicago IL 60640-1704. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Bunch, Andrea can be contacted via phone (177) 390-7359.Contact Information
Primary practice address
5414 N Broadway St
Chicago IL 60640-1704
Phone: (177) 390-7359
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 070021790 | Illinois |
Profile Details
| NPI number | 1538536065 |
|---|---|
| LBN Legal business name | Bunch, Andrea |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2015 |
| Last updated | Sep 1st, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538536065 | NPPES |
| Illinois | Other | 070021790 | STATE LICENSE |
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