Organization Active NPI

Frank C Sun MD PC

  • Obstetrics & Gynecology Physician
  • Gurnee, IL
National Provider Identifier
1891005476
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
060005673 Issued in IL
Legal business name
FRANK C SUN MD PC
Practice address
200 S Greenleaf St
Suite L
Gurnee, IL 60031-3398
Phone
(847) 360-7888
Fax
(847) 360-8366
NPI assigned
Oct 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. Frank C Sun, MD
Title
Owner
Phone
(847) 360-7888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 060005673 IL Primary

Addresses

Primary practice location

200 S Greenleaf St
Suite L
Gurnee, IL 60031-3398

Mailing address

200 S Greenleaf St
Suite L
Gurnee, IL 60031-3398
Phone (847) 360-7888

Other identifiers 1

IdentifierTypeStateIssuer
036054456MedicaidIL

National Provider Directory

National Provider Directory

Locations

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1891005476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S GREENLEAF ST",
            "address_2": "SUITE L",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313398",
            "telephone_number": "847-360-7888",
            "fax_number": "847-360-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S GREENLEAF ST",
            "address_2": "SUITE L",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313398",
            "telephone_number": "847-360-7888",
            "fax_number": "847-360-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK C SUN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-360-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "060005673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054456",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.