| Doctor Name: | DR. ZHAODI GONG |
| NPI Number: | 1194977603 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD, PHD |
| License Number: | 52543 |
| Business Practice Address: | 2520 Elisha Ave Zion, IL - 600992676 |
| Business Phone Number: | 8478726425 |
| Business Fax Number: | 8478721598 |
| Mailing Address: | 2520 Elisha Ave, ZION |
| State: | IL |
| Postal Code: | 600992676 |
| Phone Number: | 8478726425 |
| Fax Number: | 8478721598 |
| NPI Enumeration Date: | 10/15/2008 |
| NPI Last Update Date: | 10/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LP2900X |
| License Number: | 52543 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |