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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538536065 NPPES
Illinois Other 070021790 STATE LICENSE

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