Provider Demographics
NPI:1952491094
Name:GUNNAR, WILLIAM PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PETER
Last Name:GUNNAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:P.O. BOX 5000
Mailing Address - Street 2:(112/RM 522)
Mailing Address - City:HINES
Mailing Address - State:IL
Mailing Address - Zip Code:60610
Mailing Address - Country:US
Mailing Address - Phone:708-202-5768
Mailing Address - Fax:708-202-2180
Practice Address - Street 1:5TH AVE & ROOSEVELT RD
Practice Address - Street 2:(112/RM 522)
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60610
Practice Address - Country:US
Practice Address - Phone:708-202-5768
Practice Address - Fax:708-202-2180
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)