Provider Demographics
NPI:1710126081
Name:CUNNINGHAM, JAMES D (CFA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 SAMANTHA CIR
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4411
Mailing Address - Country:US
Mailing Address - Phone:630-715-2313
Mailing Address - Fax:
Practice Address - Street 1:809 SAMANTHA CIR
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4411
Practice Address - Country:US
Practice Address - Phone:630-715-2313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist