Provider Demographics
NPI:1740650449
Name:DUNAJ, EMILY CHRISTINE (PA-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:CHRISTINE
Last Name:DUNAJ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1952 ABERDEEN CT
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-3295
Mailing Address - Country:US
Mailing Address - Phone:815-766-3942
Mailing Address - Fax:815-758-5482
Practice Address - Street 1:1952 ABERDEEN CT
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-3295
Practice Address - Country:US
Practice Address - Phone:815-766-3942
Practice Address - Fax:815-758-5482
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085005640363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant