Individual
HOLLY L GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 MADISON ST, SUITE 104, JOLIET, IL 60435-6565
(815) 725-3440
(815) 725-7209
Mailing address
330 MADISON ST, SUITE 104, JOLIET, IL 60435-6565
(815) 725-3440
(815) 725-7209
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036062769
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062769
—
IL
Enumeration date
06/10/2006
Last updated
06/23/2010
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