Kelly Gunderson, is a
Kinesiotherapist based in North Chicago, Illinois. Kelly Gunderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
3001 Green Bay Rd, North Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(224) 610-4154.
NPI number for Kelly Gunderson is 1750682720 and her current mailing address is 3001 Green Bay Rd, North Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750682720.
Healthcare Provider's Profile
Full Name | Kelly Gunderson |
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Gender | Female |
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Speciality | Kinesiotherapist |
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Location | 3001 Green Bay Rd, North Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750682720
- Provider Enumeration Date: 11/08/2010
- Last Update Date: 09/10/2012
Medical Identifiers
Medical identifiers for Kelly Gunderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750682720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 4393-046 (Wisconsin) | Secondary |
226300000X | Kinesiotherapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Gunderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Gunderson, 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (224) 610-4154 | Kelly Gunderson, 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (224) 610-4154 |
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