Provider Demographics
NPI:1063580801
Name:GAUNT, AMY K (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:K
Last Name:GAUNT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4121 FAIRVIEW AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515
Mailing Address - Country:US
Mailing Address - Phone:630-719-9229
Mailing Address - Fax:630-719-9452
Practice Address - Street 1:4121 FAIRVIEW AVE
Practice Address - Street 2:WOMEN OBGYN ASSOCIATES PC SUITE 201
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515
Practice Address - Country:US
Practice Address - Phone:630-719-9229
Practice Address - Fax:630-719-9452
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-12-27
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Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL87748Medicare PIN
E59016Medicare UPIN