JAVIER VIDAL GONZALEZ

LAKE FOREST, IL
NPI1902223209
Other NameJAVIER VIDAL GONZALEZ-COTTO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: IL  036141352)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  036141353)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-03-25
Last Update Date2022-07-21
Business Address
Dr. JAVIER VIDAL GONZALEZ MD
660 N WESTMORELAND RD
LAKE FOREST, IL 60045-1659
Phone number: 845-234-5600
Mailing Address
Dr. JAVIER VIDAL GONZALEZ MD
660 N WESTMORELAND RD
LAKE FOREST, IL 60045-1659
Phone number: 847-234-5600