Provider Demographics
NPI:1033464565
Name:HUNTER, VIOLA NIKITA
Entity Type:Individual
Prefix:MS
First Name:VIOLA
Middle Name:NIKITA
Last Name:HUNTER
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 1:176 NORTH LAPORTE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60644-3510
Mailing Address - Country:US
Mailing Address - Phone:773-921-3234
Mailing Address - Fax:
Practice Address - Street 1:176 NORTH LAPORTE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60644-3510
Practice Address - Country:US
Practice Address - Phone:773-921-3234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications