Carlsson Thorn, Gunilla Sigrid
Carlsson Thorn, Gunilla Sigrid is an individual health care provider with primary practice located at 2900 Foxfield Rd , St Charles IL 60174-5799. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Carlsson Thorn, Gunilla Sigrid can be contacted via phone (630) 315-6500.Contact Information
Primary practice address
2900 Foxfield Rd
St Charles IL 60174-5799
Phone: (630) 315-6500
Fax: (630) 615-6519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | AN52403945287 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | AN52403945287 | Illinois |
Profile Details
| NPI number | 1174779755 |
|---|---|
| LBN Legal business name | Carlsson Thorn, Gunilla Sigrid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2008 |
| Last updated | Aug 11th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174779755 | NPPES |
| Illinois | Other | CA4748 | MEDICARE RR (GROUP) |
| Illinois | MEDICAID | 036132093 | MEDICARE RR (GROUP) |
| Illinois | Other | 206147 | MEDICARE RR (GROUP) |
| Illinois | Other | F400094850 | MEDICARE RR (GROUP) |
| Illinois | Other | P01324606 | MEDICARE RR (GROUP) |
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