Organization
GOUNDER CLINIC, LLC
Active
Other names
Gounder Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE GOUNDER (MANAGER)
(773) 698-8552
Entity
Organization
Contact information
Practice address
3347 N CLARK ST UNIT C, CHICAGO, IL 60657-1149
(773) 698-8552
Mailing address
3347 N CLARK ST UNIT C, CHICAGO, IL 60657-1149
(773) 698-8552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36109397
IL
363LF0000X
Family Nurse Practitioner
—
IL
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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