MICHAEL GONZALEZ

CHICAGO, IL
NPI1912641648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  125080489)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-27
Last Update Date2022-09-12
Business Address
MICHAEL GONZALEZ
820 S WOOD ST STE 100
CHICAGO, IL 60612-4325
Phone number: 312-996-2933
Mailing Address
MICHAEL GONZALEZ
820 S WOOD ST STE 100
CHICAGO, IL 60612-4325
Phone number: 312-996-2933