# GOUNDER CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gounder Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588805675
- **Authorized official:** MRS. STEPHANIE GOUNDER (MANAGER)
- **Authorized official phone:** (773) 698-8552

## Contact information

- **Practice address:** 3347 N CLARK ST UNIT C, CHICAGO, IL 60657-1149
- **Practice address phone:** (773) 698-8552
- **Mailing address:** 3347 N CLARK ST UNIT C, CHICAGO, IL 60657-1149
- **Mailing address phone:** (773) 698-8552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 36109397 | IL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | IL | — |

## Other

- **Enumeration date:** 03/18/2009
- **Last updated:** 03/18/2009