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Liauw Devi Gunawan, NURSE PRACTITIONER
NPI 1992289599 · on the registry since 2018
Practice
- Address
- 3412 W Fullerton Ave
Chicago, IL 60647 - Phone
- (773) 235-8000
- Organisation at this address
- Cmp Professional Services
Integrated Pain Management Sc
Fullerton Kimball Medical Group Sc
Kumar Anesthesia Pain Associates, Inc
Fullerton Kimball Medical & Surgical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-19
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