Dunivan, Carolee Jayne

Dunivan, Carolee Jayne is an individual health care provider with primary practice located at 4769 W Cermak Rd Mile Square Health Center At Cicero, Cicero IL 60804-2508. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Dunivan, Carolee Jayne can be contacted via phone (312) 413-7425.

Contact Information

Primary practice address
4769 W Cermak Rd Mile Square Health Center At Cicero Cicero IL 60804-2508
Phone: (312) 413-7425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 585551 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NMW 1535 California
Nursing Service Providers / Registered Nurse 163W00000X 041-221584 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209-001585 Illinois

Profile Details

NPI number 1194887331
LBN Legal business name Dunivan, Carolee Jayne
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Nov 4th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers