Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125059188 | IL |
N | 111NI0900X | Internist | 125059188 | IL |
Y | 207RA0201X | Internist - Allergy & Immunology | 036.141722 | IL |
NPI | 1154609030 |
---|---|
Provider Name | Neha M. Dunn |
First Address | Peoria, IL 61606-2035 |
Second Address | Peoria, IL 61606-2035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2011 |
Last Update Date | 27/10/2016 |