| George Gonnella Do Llc | |
|
2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 | |
| (815) 748-3040 | |
| Not Available |
| Full Name | George Gonnella Do Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2560 Hauser Ross Dr, Sycamore, Illinois |
| Authorized Official Name and Position | George Gonnella (OWNER) |
| Authorized Official Contact | 8157483040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George Gonnella Do Llc 2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 Ph: () - | George Gonnella Do Llc 2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 Ph: (815) 748-3040 |
| NPI Number | 1215986849 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215986849 | NPI | - | NPPES |
| 0001932042 | Other | IL | BC BS |
| 036100718 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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