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Contact Information

FERNANDO B BONANNI JR, MD
1107 COLLEGE AVE
QUINCY, IL62301-2600
 Phone: 217-214-5800
 Fax: 217-214-5805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FERNANDO B BONANNI JR · (Male)

NPI Number 1720080864
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2005
Last updated 11/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD048271L
Hospital affiliation(s)
  • BLESSING HOSPITAL - (Acute Care)
    BROADWAY AT 11TH STREET
    QUINCY, IL 62301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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