| Dekalb Internal Medicine | |
|
2128 Midlands Ct Suite 106 Sycamore IL 60178-3199 | |
| (815) 756-1434 | |
| Not Available |
| Full Name | Dekalb Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2128 Midlands Ct, Sycamore, Illinois |
| Authorized Official Name and Position | Vasantha L Gona (STAFF PHYSICIAN) |
| Authorized Official Contact | 3528579150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dekalb Internal Medicine 2128 Midlands Ct Suite 106 Sycamore IL 60178-3199 Ph: (815) 756-1434 | Dekalb Internal Medicine 2128 Midlands Ct Suite 106 Sycamore IL 60178-3199 Ph: (815) 756-1434 |
| NPI Number | 1891969549 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891969549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-099204 (Illinois) | Primary |
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