Gerald M Donnelli DDS

NPI 1346474228 - Dentist - 1223G0001X

NPI Details
NPI 1346474228
Gender Male
Enumeration Date 05/07/2009
Last Updated 05/07/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2028 E RIVERSIDE BLVD
SUITE 210
LOVES PARK IL, 61111-4804, US
Phone (815) 877-4300
Fax (815) 282-5306
Business Location
2028 E RIVERSIDE BLVD
SUITE 210
LOVES PARK IL, 61111-4804, US
Phone (815) 877-4300
Fax (815) 282-5306
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019017607
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According to our database, Gerald M Donnelli DDS NPI is 1346474228, taxonomy code is 1223G0001X and license number is 019017607, license state is located at Illinois. Gerald M Donnelli DDS physically located at 2028 E Riverside Blvd, Loves Park IL, 61111-4804. NPI Number Gerald M Donnelli DDS has the Individual type.

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1346474228 NPI number is provided on an as is basis without warranty of any kind. 1346474228 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald M Donnelli DDS are for informational purposes only.