Individual provider Active NPI

Gunnar Thors, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Elgin, IL
National Provider Identifier
1508893884
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
036-081076 Issued in IL
Practice address
163 S Randall Rd
Elgin, IL 60123-5551
Phone
(847) 458-8808
Fax
(847) 458-8822
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 036-081076 IL Primary

Addresses

Primary practice location

163 S Randall Rd
Elgin, IL 60123-5551

Mailing address

PO Box 410
Barrington, IL 60011-0410
Phone (847) 458-8808

Other identifiers 4

IdentifierTypeStateIssuer
132503800OtherUS DEPT OF LABOR-OWCP
240006456OtherILRR MEDICARE
240006455OtherILRR MEDICARE
04923242OtherILBLUECROSS/BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20060816000342 IL Practitioner - Plastic and Reconstructive Surgery 8325041189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1474 Merchant Dr
Algonquin, IL 60102-5917
Phone (847) 458-8808

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-081076ILMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GT Plastic and Reconstructive Surgery, S.C. Plastic and Reconstructive Surgery CurrentSince Sep 15, 2006 Accepting new patients
Midwest Cygnetazure, Inc PastSince Sep 15, 2006 Accepting new patients

Locations

1474 Merchant Dr
Algonquin, IL 60102
Phone (847) 381-9600

163 S Randall Rd
Elgin, IL 60123
Phone (847) 406-1007

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

Interoperability endpoints

  • Direct secure messaging: gthors234671@direct.myadvocateaurora.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1508893884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600110410",
            "telephone_number": "847-458-8808",
            "fax_number": "847-458-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235551",
            "telephone_number": "847-458-8808",
            "fax_number": "847-458-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORS",
        "first_name": "GUNNAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036-081076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR-OWCP",
            "identifier": "132503800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "240006456",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "240006455",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "04923242",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.