# GIZUNT SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104951698
- **Authorized official:** PETER SMITH (CREDENTIALING AGENT)
- **Authorized official phone:** (815) 965-8505

## Contact information

- **Practice address:** 5929 N CICERO AVE, CHICAGO, IL 60646-5701
- **Practice address phone:** (773) 529-4913
- **Mailing address:** 293 WOODSTONE CIR, BUFFALO GROVE, IL 60089-6702
- **Mailing address phone:** (847) 459-8563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036111300 | IL | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 08/07/2014