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Search › Illinois › 291U00000X

Jose Gonzalez

NPI 1083305163 · on the registry since 2023 · sole proprietor

Practice

Address
820 S Damen Ave
Chicago, IL 60612
Phone
(312) 569-8387
Organisation at this address
Chicago Vamc
Chicago Vamc
Chicago Vamc
Jesse Brown Va
Jesse Brown Va
Inferred from a shared address, not stated in the registry.
Clinicians at this address
639

Registry record

Primary taxonomy
291U00000X
291U00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois