SearchIllinois183500000X

Minette Punsalan

NPI 1649921032 · on the registry since 2022 · sole proprietor

Practice

Address
10900 S Doty Ave
Chicago, IL 60628
Phone
(773) 344-9061
Organisation at this address
Walmart Inc.
Wal-Mart Stores Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-17

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