Individual
JONATHAN GUNTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 E SUPERIOR ST, CHICAGO, IL 60611-2914
(312) 926-2000
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125081245
IL
2085R0202X
Diagnostic Radiology Physician
Primary
125081245
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2022
Last updated
05/25/2024
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