Gonnella, George R
Gonnella, George R is an sole proprietor health care provider with primary practice located at 300 Randall Rd , Geneva IL 60134-4200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gonnella, George R can be contacted via phone (630) 933-4700.Contact Information
Primary practice address
300 Randall Rd
Geneva IL 60134-4200
Phone: (630) 933-4700
Fax: (630) 933-4427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036100718 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036100718 | Illinois |
Profile Details
| NPI number | 1982682613 |
|---|---|
| LBN Legal business name | Gonnella, George R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jan 18th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982682613 | NPPES |
| Illinois | Other | DB1658 | MEDICARE RAILROAD PTAN (GROUP) |
| Illinois | Other | P01248063 | MEDICARE RAILROAD PTAN (GROUP) |
| Illinois | Other | IL8618001 | MEDICARE RAILROAD PTAN (GROUP) |
| Illinois | Other | 920540039 | MEDICARE RAILROAD PTAN (GROUP) |
| Illinois | MEDICAID | 036100718 | MEDICARE RAILROAD PTAN (GROUP) |
| Illinois | Other | 920540 | MEDICARE RAILROAD PTAN (GROUP) |
| Illinois | Other | IL8618 | MEDICARE RAILROAD PTAN (GROUP) |
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