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Liauw Devi Gunawan, NURSEPRACTITIONER
Family Nurse Practitioner in Chicago, Illinois
NPI 1992289599

Liauw Devi Gunawan is a Family Nurse Practitioner based in Skokie, IL and is specialized in Family. Liauw Devi Gunawan practices in Chicago, IL and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Liauw Devi Gunawan is 1992289599 and holds a License No. 209.017128 (Illinois).

The current practice location address for Liauw Devi Gunawan is 3412 W Fullerton Ave, Chicago, IL and can be reached out via phone at 773-235-8000.

Location: 3412 W Fullerton Ave, Chicago, IL, 60076-2800
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Provider Profile Details
NPI Number
1992289599
Provider Name
Liauw Devi Gunawan
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
3412 W Fullerton Ave, Chicago, IL, 60076-2800
Phone Number
773-235-8000
Fax Number
Provider Enumeration Date
09/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3412 W Fullerton Ave
City
State
Zip
60647-2416
Phone Number
773-235-8000
Fax Number
person
Provider Business Mailing Address Details
Address
3412 W Fullerton Ave
City
State
Zip
60647-2416
Phone Number
773-235-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.017128 (Illinois)
Definition
Definition to come...
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