# GEORGE GONNELLA DO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215986849
- **Authorized official:** GEORGE GONNELLA DO (OWNER)
- **Authorized official phone:** (815) 748-3040

## Contact information

- **Practice address:** 2560 HAUSER ROSS DR, SUITE 450, SYCAMORE, IL 60178-3150
- **Practice address phone:** (815) 748-3040
- **Mailing address:** 2560 HAUSER ROSS DR, SUITE 450, SYCAMORE, IL 60178-3150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 07/16/2008