Gonzalo, German

Gonzalo, German is an individual health care provider with primary practice located at 30 Oaklane Dr , Ottawa IL 61350-1135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gonzalo, German can be contacted via phone (815) 488-6232.

Contact Information

Primary practice address
30 Oaklane Dr Ottawa IL 61350-1135
Phone: (815) 488-6232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X FG2738221 Illinois

Profile Details

NPI number 1922487958
LBN Legal business name Gonzalo, German
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2015
Last updated May 22nd, 2015 - about 11 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.

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