Individual provider Active NPI

William Peter Gunnar, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hines, IL
National Provider Identifier
1952491094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Practice address
5TH Ave & Roosevelt Rd
(112/RM 522)
Hines, IL 60610
Phone
(708) 202-5768
Fax
(708) 202-2180
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X IL Primary

Addresses

Primary practice location

5TH Ave & Roosevelt Rd
(112/RM 522)
Hines, IL 60610

Mailing address

P.O. Box 5000
(112/RM 522)
Hines, IL 60610
Phone (708) 202-5768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-068926ILMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952491094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5000",
            "address_2": "(112/RM 522)",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60610",
            "telephone_number": "708-202-5768",
            "fax_number": "708-202-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH AVE & ROOSEVELT RD",
            "address_2": "(112/RM 522)",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60610",
            "telephone_number": "708-202-5768",
            "fax_number": "708-202-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNAR",
        "first_name": "WILLIAM",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.