Individual
DR. CHAD RYAN GONCZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 N 1ST ST, SPRINGFIELD, IL 62702
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036145851
IL
2086X0206X
Surgical Oncology Physician
MD461691
PA
Other
Enumeration date
06/25/2010
Last updated
05/22/2020
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