Individual
DR. ANDREW WARREN WUNDERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 GLENWOOD AVE, SUITE 107, JOLIET, IL 60435-5676
(815) 741-4445
(815) 741-3047
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036106187
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106187
—
IL
Enumeration date
09/15/2005
Last updated
08/29/2023
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