Individual provider · NPI-1

Dr. Larry Charles Gunn, M.D.

Surgery · Oak Brook, IL

NPI number1497014526
StatusActive
Last updated in NPPESMay 9, 2012

Details

NPI
1497014526
Entity type
Individual (NPI-1)
Name
Dr. Larry Charles Gunn
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 9, 2012
Last updated
May 9, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery036.039251ILYes

Practice location

34 Briarwood S
Oak Brook, IL 60523-8703

Phone 630-721-6409

Mailing address

34 Briarwood S
Oak Brook, IL 60523-8703

Phone 630-721-6409

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery providers in Oak Brook, IL