GARY PATRICK FERNANDO

ROCKFORD, IL
NPI1013188408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036128459)
Additional Taxonomies208000000X Pediatrics
(Licence: NY  257716)
Enumeration Date2008-03-13
Last Update Date2018-06-04
Business Address
DR. GARY PATRICK FERNANDO MD
1200 W STATE ST
ROCKFORD, IL 61102
Phone number: 815-490-1600
Mailing Address
DR. GARY PATRICK FERNANDO MD
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600