Henry Gonzalez

NPI 1053466797 - Podiatrist - 213E00000X

NPI Details
NPI 1053466797
Gender Male
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2003 W FULTON ST STE 3
CHICAGO IL, 60612-2365, US
Phone (773) 342-6200
Fax
Business Location
2003 W FULTON ST STE 3
CHICAGO IL, 60612-2365, US
Phone
Fax
Toxanomy
Taxonomy Code 213E00000X
License State Illinois
License Number 016-005275
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According to our database, Henry Gonzalez NPI is 1053466797, taxonomy code is 213E00000X and license number is 016-005275, license state is located at Illinois. Henry Gonzalez physically located at 2003 W Fulton St Ste 3, Chicago IL, 60612-2365. NPI Number Henry Gonzalez has the Individual type.

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1053466797 NPI number is provided on an as is basis without warranty of any kind. 1053466797 is maintained by the National Plan & Provider Enumeration System. The contents of Henry Gonzalez are for informational purposes only.