DR. ENRICO GONONG MD NPI 1659529337

NPI Information

DR. Enrico Gonong, MD is a student in an organized health care education training program in Rockford, IL. The provider is 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. DR. Enrico Gonong, MD NPI is 1659529337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1221 E STATE ST
ROCKFORD, IL
ZIP 61104-231
Phone: (815) 972-1030
Fax: (815) 972-1092

The enumeration date for this NPI number is 9/5/2008 and was last updated on 9/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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