Healthcare Provider Details

I. General information

NPI: 1588665517
Provider Name (Legal Business Name): MEHMET S GULECYUZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SPALDING DRIVE SUITE 200
NAPERVILLE IL
60540
US

IV. Provider business mailing address

39 WOODVIEW LN
LEMONT IL
60439-8799
US

V. Phone/Fax

Practice location:
  • Phone: 630-527-2724
  • Fax: 630-527-2727
Mailing address:
  • Phone: 630-243-6277
  • Fax: 630-243-6267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: