NPI | 1588805675 |
---|---|
Doing Business As | GOUNDER CLINIC |
Entity Type | Organization |
Authorized Contact | STEPHANIE GOUNDER Manager 773-698-8552 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36109397) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2009-03-18 |
Last Update Date | 2009-03-18 |