TERRY LYNN BUNGER

ROCKFORD, IL
NPI1043787419
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: IL  041467941)
Enumeration Date2018-10-24
Last Update Date2018-10-24
Business Address
TERRY LYNN BUNGER
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-391-1000
Mailing Address
TERRY LYNN BUNGER
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: