Provider Demographics
NPI:1073940722
Name:DUNBAR, WILLIAM (PHD, LAC, LDN)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:DUNBAR
Suffix:
Gender:M
Credentials:PHD, LAC, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7019 S. SOLON RD.
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60051
Mailing Address - Country:US
Mailing Address - Phone:262-770-2200
Mailing Address - Fax:262-554-7475
Practice Address - Street 1:6232 BANKERS RD
Practice Address - Street 2:MIDWEST COLLEGE OF ORIENTAL MEDICINE
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53403-9747
Practice Address - Country:US
Practice Address - Phone:262-554-2010
Practice Address - Fax:262-554-7475
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164004084133N00000X
IL198000128171100000X
WI2255171100000X
FLAP126171100000X
IL181000186172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No172P00000XOther Service ProvidersNaprapath