Individual
NELSON P GURNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4857 MANHATTAN DR, ROCKFORD, IL 61108-2265
(815) 399-0599
(815) 399-2499
Mailing address
4857 MANHATTAN DR, ROCKFORD, IL 61108-2265
(815) 399-0599
(815) 399-2499
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3642511
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10100424
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/20/2006
Last updated
08/17/2007
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