Mrs. Mary O Wunderlich, PA
Mrs. Mary O Wunderlich, PA is a Physician Assistant in Red Bud, Illinois. Qualified in 1986, 40 years ago. Practices with Red Bud Illinois Hospital Company LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 40
- Licensed in
- IL
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
325 Spring StRed Bud, IL 62278
Phone: (618) 282-3831
Fax: (618) 282-5476
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085000332 (IL) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 085-000332 (IL) |
Record details
| NPI number | 1477856979 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2010 |
| Last updated in NPPES | January 25, 2023 |
| Certification date | January 25, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1986 (40 years in practice) |
| Group practice | Red Bud Illinois Hospital Company Llc — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |