Provider Demographics
NPI:1285756940
Name:NUNEZ, PIERRE RAMON (PHD)
Entity type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:RAMON
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1756 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2412
Mailing Address - Country:US
Mailing Address - Phone:773-869-3613
Mailing Address - Fax:773-869-3603
Practice Address - Street 1:1901 W HARRISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:773-869-3613
Practice Address - Fax:773-869-3603
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-004562103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical