Provider Demographics
NPI:1588665517
Name:GULECYUZ, MEHMET S (MD)
Entity Type:Individual
Prefix:DR
First Name:MEHMET
Middle Name:S
Last Name:GULECYUZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:39 WOODVIEW LN
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-8799
Mailing Address - Country:US
Mailing Address - Phone:630-243-6277
Mailing Address - Fax:630-243-6267
Practice Address - Street 1:120 SPALDING DRIVE SUITE 200
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540
Practice Address - Country:US
Practice Address - Phone:630-527-2724
Practice Address - Fax:630-527-2727
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-087204-1Medicaid
ILG73206Medicare UPIN
IL036-087204-1Medicaid