Holly L Gunderson, M.D.
Surgery in Joliet, IL. Individual provider (NPI-1).
NPI number1891737557
StatusActive
Last updated in NPPESJun 23, 2010
Details
- NPI
- 1891737557
- Entity type
- Individual (NPI-1)
- Name
- Holly L Gunderson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2006
- Last updated
- Jun 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 036062769 | IL | Yes |
Practice location
330 Madison StSuite 104
Joliet, IL 60435-6565
Phone 815-725-3440 · Fax 815-725-7209
Mailing address
330 Madison StSuite 104
Joliet, IL 60435-6565
Phone 815-725-3440 · Fax 815-725-7209
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