Carolee Jayne Dunivan, CNM
Advanced Practice Midwife in Cicero, IL. Individual provider (NPI-1).
NPI number1194887331
StatusActive
Last updated in NPPESNov 4, 2010
Details
- NPI
- 1194887331
- Entity type
- Individual (NPI-1)
- Name
- Ms. Carolee Jayne Dunivan
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2006
- Last updated
- Nov 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | NMW 1535 | CA | Yes |
| 163W00000X | Registered Nurse | 585551 | CA | |
| 163W00000X | Registered Nurse | 041-221584 | IL | |
| 367A00000X | Advanced Practice Midwife | 209-001585 | IL |
Other names
- Carolee Jayne Zupsich (Former Name)
Practice location
4769 W Cermak RdMile Square Health Center At Cicero
Cicero, IL 60804-2508
Phone 312-413-7425
Mailing address
1532 Ostrander AveLa Grange Park, IL 60526-1354
Phone 708-482-0098
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