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NPI Code Detail

MEDICARE: DR. KATE GUNNELL MD

MEDICARE: DR. KATE GUNNELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician36090589IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164470670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATE GUNNELL MD
Provider Business Mailing Address
First Line : 911 N ELM ST
Second Line : SUITE 215
City : HINSDALE
State : IL
Zip : 60521-3634
Country : US
Telephone Number : 630-856-6865
Fax Number : 630-856-6813
Provider Business Practice Location Address
First Line : 135 N OAK ST
Second Line :
City : HINSDALE
State : IL
Zip : 60521-3860
Country : US
Telephone Number : 630-856-8900
Fax Number : 630-856-8923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 03/31/2021

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Directions to “ DR. KATE GUNNELL MD” Practice Location

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