Individual
MR. MARK ANTHONY GURGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH., BCNP
Contact information
Practice address
161 TOWER DR, UNIT A, BURR RIDGE, IL 60527-5776
(630) 321-0218
(630) 321-0345
Mailing address
7606 RED OAK DR, PLAINFIELD, IL 60586-2510
(815) 782-4743
Taxonomy
Speciality
Code
Description
License number
State
1835N0905X
Nuclear Pharmacist
Primary
051.286647
IL
Other
Enumeration date
10/16/2006
Last updated
01/04/2013
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