Search › Illinois › 163WC0200X
Thomas Gunderson
NPI 1770248528 · on the registry since 2021
Practice
- Address
- 509 Zierke Ct
Winnebago, IL 61088 - Phone
- (815) 980-1282
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois