George Gonnella Do Llc

LBN: George Gonnella Do Llc
George Gonnella Do Llc is an health care organization with primary practice located at 2560 Hauser Ross Dr Suite 450, Sycamore IL 60178-3150. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. George Gonnella Do Llc can be contacted via phone (815) 748-3040, or through Gonnella, George via phone (815) 748-3040.

Contact Information

Primary practice address
2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150
Phone: (815) 748-3040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonnella, George Doctor of Osteopathy (DO)
Phone: (815) 748-3040

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1215986849
LBN Legal business name George Gonnella Do Llc
DBA Doing business as
Authorized official Gonnella, George Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Jul 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215986849 NPPES
Illinois Other 0001932042 BC BS
Illinois MEDICAID 036100718 BC BS

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