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Brooklyn Gunderson
NPI 1477193035 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1501 W Bradley Ave
Peoria, IL 61625 - Phone
- (715) 507-0439
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-21
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