CAROLEE JAYNE DUNIVAN

CICERO, IL
NPI1194887331
Former NameCAROLEE JAYNE ZUPSICH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: CA  NMW 1535)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  585551)
163W00000X Registered Nurse
(Licence: IL  041-221584)
367A00000X Advanced Practice Midwife
(Licence: IL  209-001585)
Enumeration Date2006-12-14
Last Update Date2010-11-04
Business Address
Ms. CAROLEE JAYNE DUNIVAN CNM
4769 W CERMAK RD MILE SQUARE HEALTH CENTER AT CICERO
CICERO, IL 60804-2508
Phone number: 312-413-7425
Mailing Address
Ms. CAROLEE JAYNE DUNIVAN CNM
1532 OSTRANDER AVE
LA GRANGE PARK, IL 60526-1354
Phone number: 708-482-0098