person
Dr. Enrico Gonong, MD
Student in an Organized Health Care Education/Training Program in Rockford, Illinois
NPI 1659529337

Enrico Gonong is a Student in an Organized Health Care Education/Training Program based in Rockford, IL. Enrico Gonong practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Enrico Gonong is 1659529337 and holds a License No. 125054087 (Illinois).

The current practice location address for Enrico Gonong is 1221 E State St, Rockford, IL and can be reached out via phone at 815-972-1030 and via fax at 815-972-1092.

Location: 1221 E State St, Rockford, IL, 61104-2231
person
Provider Profile Details
NPI Number
1659529337
Provider Name
Enrico Gonong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1221 E State St, Rockford, IL, 61104-2231
Phone Number
815-972-1030
Fax Number
815-972-1092
Provider Enumeration Date
09/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1221 E State St
City
State
Zip
61104-2231
Phone Number
815-972-1030
Fax Number
815-972-1092
person
Provider Business Mailing Address Details
Address
1221 E State St
City
State
Zip
61104-2231
Phone Number
815-972-1030
Fax Number
815-972-1092
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
125054087 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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