Organization
ALLAN C GOCIO MD NEUROSURGICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANETTE GOCIO LPN,CPC (OFFICE MANAGER)
(618) 997-1200
Entity
Organization
Contact information
Practice address
3331 W DEYOUNG ST, STE 308, MARION, IL 62959-5896
(618) 997-1200
(618) 997-1212
Mailing address
PO BOX 430, MARION, IL 62959-0430
(618) 997-1200
(618) 997-1212
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036-113252
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432921318
—
IL
Enumeration date
02/02/2009
Last updated
04/15/2009
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