Carolee Jayne Dunivan, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

NMW 1535 Issued in CA

Practice address

4769 W Cermak Rd
Mile Square Health Center at Cicero
Cicero, IL 60804-2508

Phone

(312) 413-7425

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Ms. Carolee Jayne Zupsich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1194887331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 OSTRANDER AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261354",
            "telephone_number": "708-482-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4769 W CERMAK RD",
            "address_2": "MILE SQUARE HEALTH CENTER AT CICERO",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042508",
            "telephone_number": "312-413-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNIVAN",
        "first_name": "CAROLEE",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "585551",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW 1535",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-221584",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209-001585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLEE",
            "last_name": "ZUPSICH",
            "middle_name": "JAYNE",
            "prefix": "MS.",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ricardo C Dizon, M.D. L.T.D.
• Sarah Dodoo
• Madison Arnold Doyle, APRN
• Dr Richard Moncebaiz DCPC (Moncebaiz Chiropractic Centre)
• Adrienne L Dudley, APRN. CNP
• Elpiniki Economou
• Elect Logistics LLC
• Emmanuels Healing Home Care
• Erica Luisa Eppler, BCBA
• Gabriela Escobedo

• Advanced Practice Midwife in Cicero, IL
• Providers in Cicero, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.