Organization
NELSON F GAUTO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON F GAUTO M.D. (OWNER)
(618) 998-9600
Entity
Organization
Contact information
Practice address
3314 PATRIOT COURT, HERRIN, IL 62948
(618) 998-9600
(618) 998-9611
Mailing address
PO BOX 670, ENERGY, IL 62933-0670
(618) 998-9600
(618) 998-9611
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IL
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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