Individual
FERNANDO B BONANNI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1107 COLLEGE AVE, QUINCY, IL 62301-2600
(217) 214-5800
(217) 214-5805
Mailing address
1107 COLLEGE AVE, QUINCY, IL 62301-2600
(215) 206-9679
(217) 214-5805
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD048271L
PA
Other
Enumeration date
08/10/2005
Last updated
11/04/2021
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