Dekalb Medical Clinic,inc

NPI #1891969549 in Sycamore, Illinois

Provider Information

NPI Number
1891969549
Entity Type
Organization
Organization Name
Dekalb Medical Clinic,inc
Primary Specialty
Internal Medicine
Enumeration Date
Apr 14, 2008
Last Updated
Jan 25, 2012

Practice Location

Address
2128 MIDLANDS CT
Address 2
SUITE 106
ZIP Code
60178-3199
Phone
(815) 756-1434

Authorized Official

Name
DR. VASANTHA L GONA, M.D.,
Title
STAFF PHYSICIAN
Phone
(352) 857-9150

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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