Individual
MR. EARL EDWARD GUNTHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070010574
IL
2251S0007X
Sports Physical Therapist
070010574
IL
2251X0800X
Orthopedic Physical Therapist
070010574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070010574
PT LISCENCE NUMBER
IL
01
—
1634788
BLUE CROSS GROUP NUMBER
IL
01
—
7739664
AETNA PROVIDER ID
IL
Enumeration date
08/08/2006
Last updated
11/20/2013
Update your record
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