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Contact Information

GUNILLA S CARLSSON THORN, MD
2900 FOXFIELD RD
SAINT CHARLES, IL60174-5799
 Phone: 630-315-6500
 Fax: 630-615-6519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GUNILLA S CARLSSON THORN · (Female)

NPI # 1174779755
Status Active
Credentials MD
Entity Individual
Enumeration date 08/14/2008
Last updated 08/11/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # AN52403945287
  • IL Medicaid 036132093
  • IL Other 206147 MEDICARE (GROUP)
  • IL Other F400094850 MEDICARE (INDIVIDUAL)
  • IL Other CA4748 MEDICARE RR (GROUP)
  • IL Other P01324606 MEDICARE RR (INDIVIDUAL)
Hospital affiliation(s)
  • CENTRAL DUPAGE HOSPITAL - (Acute Care)
    25 NORTH WINFIELD ROAD
    WINFIELD, IL 60190
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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