Carlsson Thorn, Gunilla Sigrid

Carlsson Thorn, Gunilla Sigrid is an individual health care provider with primary practice located at 2900 Foxfield Rd , St Charles IL 60174-5799. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Carlsson Thorn, Gunilla Sigrid can be contacted via phone (630) 315-6500.

Contact Information

Primary practice address
2900 Foxfield Rd St Charles IL 60174-5799
Phone: (630) 315-6500
Fax: (630) 615-6519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X AN52403945287 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X AN52403945287 Illinois

Profile Details

NPI number 1174779755
LBN Legal business name Carlsson Thorn, Gunilla Sigrid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Aug 11th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174779755 NPPES
Illinois Other CA4748 MEDICARE RR (GROUP)
Illinois MEDICAID 036132093 MEDICARE RR (GROUP)
Illinois Other 206147 MEDICARE RR (GROUP)
Illinois Other F400094850 MEDICARE RR (GROUP)
Illinois Other P01324606 MEDICARE RR (GROUP)

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