Individual provider · Type 1 NPI

Liauw Devi Gunawan, NURSE PRACTITIONER

Family Nurse Practitioner · Chicago, IL

NPI number 1992289599 Active

Practice location

3412 W Fullerton Ave
Chicago, IL 60647-2416

Mailing address

8436 Drake Ave
Skokie, IL 60076-2800

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.017128 (IL)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1992289599

Liauw Devi Gunawan, NURSE PRACTITIONER's National Provider Identifier is 1992289599, issued on Sep 19, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Sep 19, 2018.