Provider Demographics
NPI:1669528626
Name:BRUNEEL, KAREN L (DN)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:BRUNEEL
Suffix:
Gender:F
Credentials:DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5713 W WARWICK AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-2658
Mailing Address - Country:US
Mailing Address - Phone:773-427-8634
Mailing Address - Fax:
Practice Address - Street 1:4770 N LINCOLN AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2092
Practice Address - Country:US
Practice Address - Phone:773-769-1133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath