Individual
DR. ALEX GORBONOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 N 8TH ST, SUITE PAV 4B, SPRINGFIELD, IL 62701-1041
(217) 545-8000
(217) 545-7305
Mailing address
PO BOX 19665, SPRINGFIELD, IL 62794-9665
(217) 545-8000
(217) 545-7305
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-116265
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116265
—
IL
Enumeration date
11/27/2007
Last updated
04/07/2021
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