Provider Demographics
NPI:1285223826
Name:DUNLOP, WHITNEY (DC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:DUNLOP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21W261 DRURY LN
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5101
Mailing Address - Country:US
Mailing Address - Phone:630-540-6996
Mailing Address - Fax:
Practice Address - Street 1:6622 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-5138
Practice Address - Country:US
Practice Address - Phone:773-424-5584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-17
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038013662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor