Provider Demographics
NPI:1396996518
Name:DUNSMORE, VIRGINIA (MA)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:DUNSMORE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 THORNHILL DR
Mailing Address - Street 2:#105
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-2793
Mailing Address - Country:US
Mailing Address - Phone:630-529-3277
Mailing Address - Fax:630-858-6932
Practice Address - Street 1:501 THORNHILL DR
Practice Address - Street 2:#105
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2793
Practice Address - Country:US
Practice Address - Phone:630-529-3277
Practice Address - Fax:630-858-6932
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000197231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist