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Theodora Cunningham
NPI 1295409217 · on the registry since 2021 · sole proprietor
Practice
- Address
- 503 E 61st St
Chicago, IL 60637 - Phone
- (773) 234-7994
- Organisation at this address
- Lotus Trauma Care, Llc
Darren B. Easterling Center For Restorative PracticesInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
101YP2500X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois