Provider Demographics
NPI:1306110457
Name:DUNN, BRITTANY MARIE
Entity type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:MARIE
Last Name:DUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 BOWLING GREEN DR
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-4159
Mailing Address - Country:US
Mailing Address - Phone:708-899-7200
Mailing Address - Fax:
Practice Address - Street 1:918 BOWLING GREEN DR
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-4159
Practice Address - Country:US
Practice Address - Phone:708-899-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.002180235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist