Individual
GERMAN GONZALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 OAKLANE DR, OTTAWA, IL 61350-1135
(815) 488-6232
Mailing address
30 OAKLANE DR, OTTAWA, IL 61350-1135
(815) 488-6232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FG2738221
IL
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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