Wunderlich MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WUNDERLICH MD SC

Practice address

2000 Glenwood Ave
Suite 107
Joliet, IL 60435-5676

Phone

(815) 741-4445

Fax

(815) 741-3047

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew W Wunderlich, MD

Title

President

Phone

(815) 741-4445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1588744940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GLENWOOD AVE",
            "address_2": "SUITE 107",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355676",
            "telephone_number": "815-741-4445",
            "fax_number": "815-741-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GLENWOOD AVE",
            "address_2": "SUITE 107",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355676",
            "telephone_number": "815-741-4445",
            "fax_number": "815-741-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WUNDERLICH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "WUNDERLICH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-741-4445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D Wright, M.D.
• M Joann Wright, PH.D.
• Jonathan C Wu, MD
• Joseph P. Wubben, CRNA
• Russell E Wudel, PA-C
• Andrew Warren Wunderlich, M.D.
• Ashley Wynne, RBT
• Y.M.Shahmdsc (primary care joliet)
• Oscar Guillermo Yanes, M.A.
• Ahyun Yang, LSW

• Internal Medicine Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.