Vanesse L Hunley

Individual provider Active NPI Contractor · Westchester, IL

NPI 1104434174 · NPPES record last updated Jul 16, 2020

Key facts

NPI
1104434174
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
2 Westbrook Corporate Ctr
Westchester, IL 60154-5702
Phone
(708) 216-8568
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

2 Westbrook Corporate Ctr
Westchester, IL 60154-5702

Mailing address

2 Westbrook Corporate Ctr
Westchester, IL 60154-5702

Other providers in Westchester, IL

All providers in Westchester, IL · Contractor in Illinois

Sources for this page

Verify at the official NPI Registry.