Larry Charles Gunn, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036.039251 Issued in IL

Practice address

34 Briarwood S
Oak Brook, IL 60523-8703

Phone

(630) 721-6409

NPI assigned

May 9, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1497014526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BRIARWOOD S",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238703",
            "telephone_number": "630-721-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BRIARWOOD S",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238703",
            "telephone_number": "630-721-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "LARRY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.039251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gruener Consulting, LLC
• Catherine Gruener, LCPC, NCC
• Christine M. Grygiel, MA, LCPC
• Tabitha Guillaume, LCPC
• Leslie Lynn Gum, LCSW
• Traci Renee Gunnells-Kerzich, LCSW
• Sonal Gupta, M.D.
• Yash Gupta, RBT
• Sujata Shukla Gur, NURSE PRACTITIONER
• Rebecca L Gusse, LCSW

• Surgery Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.