| Dr Fernando Luis Gonzalez, MD | |
|
611 W Park St, Urbana, IL 61801 | |
| (217) 383-3311 | |
| Not Available |
| Full Name | Dr Fernando Luis Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 611 W Park St, Urbana, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558352609 | NPI | - | NPPES |
| 200527960 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD2012-0231 (New Mexico) | Secondary |
| 208800000X | Urology | 01060971A (Indiana) | Secondary |
| 208800000X | Urology | 036-083284 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fernando Luis Gonzalez, MD 611 W. Park St., Fapc, Urbana, IL 61801-5045 Ph: () - | Dr Fernando Luis Gonzalez, MD 611 W Park St, Urbana, IL 61801 Ph: (217) 383-3311 |
Ronald P Konchanin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Urology, Urbana, IL 61801 Phone: 217-383-3160 Fax: 217-383-4868 | |
Richard M Wolf, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 611 W. Park St., Urology, Urbana, IL 61801 Phone: 217-383-3160 Fax: 217-383-4868 | |
Robert E Welke, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 611 W. Park St., Urology, Urbana, IL 61801 Phone: 217-383-3160 Fax: 217-383-4868 | |
Dr. Glen Yang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3160 Fax: 217-383-4868 |