Gunderson, Kelly

Gunderson, Kelly is an individual health care provider with primary practice located at 3001 Green Bay Rd , North Chicago IL 60064-3048. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist is her primary health care specialty. Gunderson, Kelly can be contacted via phone (224) 610-4154.

Contact Information

Primary practice address
3001 Green Bay Rd North Chicago IL 60064-3048
Phone: (224) 610-4154
Fax: (224) 610-3706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 4393-046 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist 226300000X

Profile Details

NPI number 1750682720
LBN Legal business name Gunderson, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2010
Last updated Sep 10th, 2012 - about 13 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.

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