| Gnogno Md Visiting Physician Group Inc. | |
|
800 Austin St 269e Evanston IL 60202-3439 | |
| (847) 905-0317 | |
| (847) 905-0847 |
| Full Name | Gnogno Md Visiting Physician Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Austin St, Evanston, Illinois |
| Authorized Official Name and Position | Solomon M Yigazu (PHSYICIAN) |
| Authorized Official Contact | 8479050317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gnogno Md Visiting Physician Group Inc. 800 Austin St 269e Evanston IL 60202-3439 Ph: (847) 905-0317 | Gnogno Md Visiting Physician Group Inc. 800 Austin St 269e Evanston IL 60202-3439 Ph: (847) 905-0317 |
| NPI Number | 1396103230 |
|---|---|
| Provider Enumeration Date | 02/07/2016 |
| Last Update Date | 06/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396103230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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