Gorbonos, Alex
Gorbonos, Alex is an individual health care provider with primary practice located at 301 N 8Th St Suite Pav 4B, Springfield IL 62701-1041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gorbonos, Alex can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
301 N 8Th St Suite Pav 4B
Springfield IL 62701-1041
Phone: (217) 545-8000
Fax: (217) 545-7305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036-116265 | Illinois |
Profile Details
| NPI number | 1538341060 |
|---|---|
| LBN Legal business name | Gorbonos, Alex |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Apr 7th, 2021 - about 3 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 | 1538341060 | NPPES |
| Illinois | MEDICAID | 036116265 |
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