Individual provider · Type 1 NPI
Timothy Scott Dunham, AGACNP-BC
Acute Care Nurse Practitioner · Dekalb, IL
NPI number
1710890355
Active
Practice location
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Mailing address
1323 Corrigan St
Elburn, IL 60119-9586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209.036778 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1710890355
Timothy Scott Dunham, AGACNP-BC's National Provider Identifier is 1710890355, issued on Sep 24, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dekalb, IL. The record was last updated on Oct 12, 2026.