Donnelli, Gerald M

Donnelli, Gerald M is an individual health care provider with primary practice located at 2028 E Riverside Blvd Suite 210, Loves Park IL 61111-4804. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Donnelli, Gerald M can be contacted via phone (815) 877-4300.

Contact Information

Primary practice address
2028 E Riverside Blvd Suite 210 Loves Park IL 61111-4804
Phone: (815) 877-4300
Fax: (815) 282-5306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019017607 Illinois

Profile Details

NPI number 1346474228
LBN Legal business name Donnelli, Gerald M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2009
Last updated May 7th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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