Dr Gunilla Sigrid Carlsson Thorn, MD | |
2900 Foxfield Rd, St Charles, IL 60174-5799 | |
(630) 315-6500 | |
(630) 615-6519 |
Full Name | Dr Gunilla Sigrid Carlsson Thorn |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 16 Years |
Location | 2900 Foxfield Rd, St Charles, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174779755 | NPI | - | NPPES |
CA4748 | Other | IL | MEDICARE RR (GROUP) |
036132093 | Medicaid | IL | |
206147 | Other | IL | MEDICARE (GROUP) |
F400094850 | Other | IL | MEDICARE (INDIVIDUAL) |
P01324606 | Other | IL | MEDICARE RR (INDIVIDUAL) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | AN52403945287 (Illinois) | Primary |
207R00000X | Internal Medicine | AN52403945287 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 977 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Gunilla Sigrid Carlsson Thorn, MD 2900 Foxfield Rd, St Charles, IL 60174-5799 Ph: (630) 315-6500 | Dr Gunilla Sigrid Carlsson Thorn, MD 2900 Foxfield Rd, St Charles, IL 60174-5799 Ph: (630) 315-6500 |
Amanda B. Wendel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd Ste 101, St Charles, IL 60174 Phone: 630-315-6500 Fax: 630-315-6519 | |
Priyanka Patel, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2435 Dean St Ste 2e, St Charles, IL 60175 Phone: 630-443-7800 Fax: 630-443-7880 |