Gnogno MD Visiting Physician Group Inc.

NPI #1396103230 in Evanston, Illinois

Provider Information

NPI Number: 1396103230
Entity Type: Organization
Organization Name: Gnogno MD Visiting Physician Group Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Feb 7, 2016
Last Updated: Jun 15, 2016

Practice Location

Address: 800 AUSTIN ST
Address 2: 269E
City: Evanston
State: Illinois
ZIP Code: 60202-3439
Phone: (847) 905-0317

Authorized Official

Name: SOLOMON M YIGAZU, M.D.
Title: PHSYICIAN
Phone: (847) 905-0317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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