Individual
GERARD TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2239 E COOK ST, SPRINGFIELD, IL 62703-1944
(217) 788-2300
(217) 788-2341
Mailing address
2239 E COOK ST, SPRINGFIELD, IL 62703-1944
(217) 788-2300
(217) 788-2341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036098717
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098717
—
IL
Enumeration date
10/12/2005
Last updated
02/02/2015
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