| George Gonnella Do Llc | |
| 
					2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150  | |
| (815) 748-3040 | |
| Not Available | 
| Full Name | George Gonnella Do Llc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 2560 Hauser Ross Dr, Sycamore, Illinois | 
| Authorized Official Name and Position | George Gonnella (OWNER) | 
| Authorized Official Contact | 8157483040 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| George Gonnella Do Llc 2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 Ph: () -  | George Gonnella Do Llc 2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 Ph: (815) 748-3040  | 
| NPI Number | 1215986849 | 
|---|---|
| Provider Enumeration Date | 05/10/2006 | 
| Last Update Date | 07/16/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215986849 | NPI | - | NPPES | 
| 0001932042 | Other | IL | BC BS | 
| 036100718 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
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