Ismael Enrique Gonzalez Rangel MD

NPI 1023244126 - Pediatrics - 2080P0202X

NPI Details
NPI 1023244126
Gender Male
Enumeration Date 06/03/2009
Last Updated 07/24/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
1653 W CONGRESS PKWY
SUITE 761 JONES, RUSH UNIVERSITY MEDICAL CENTER
CHICAGO IL, 60612-3833, US
Phone (312) 942-7372
Fax
Business Location
3535 W 13 MILE RD
SUITE 707, MEDICAL OFFICE BUILDING; BEAUMONT HOSPITAL
ROYAL OAK MI, 48073-6770, US
Phone (248) 551-0487
Fax
Toxanomy
Taxonomy Code 2080P0202X
License State Michigan
License Number 4301100788
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According to our database, Dr. Ismael Enrique Gonzalez Rangel MD NPI is 1023244126, taxonomy code is 2080P0202X and license number is 4301100788, license state is located at Michigan. Ismael Enrique Gonzalez Rangel MD physically located at 1653 W Congress Pkwy, Chicago IL, 60612-3833. NPI Number Ismael Enrique Gonzalez Rangel MD has the Individual type.

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1023244126 NPI number is provided on an as is basis without warranty of any kind. 1023244126 is maintained by the National Plan & Provider Enumeration System. The contents of Ismael Enrique Gonzalez Rangel MD are for informational purposes only.