Individual provider · Type 1 NPI

Enrico Gonong, MD

Student in an Organized Health Care Education/Training Program · Rockford, IL

NPI number 1659529337 Active

Practice location

1221 E State St
Rockford, IL 61104-2231

Call (815) 972-1030 Map

Fax (815) 972-1092

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125054087 (IL)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1659529337

Enrico Gonong, MD's National Provider Identifier is 1659529337, issued on Sep 5, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockford, IL. The record was last updated on Sep 5, 2008.