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Carlos Gonzalez
NPI 1164158515 · on the registry since 2022
Practice
- Address
- 363 N Main St # A
Wauconda, IL 60084 - Phone
- (847) 487-0290
- Fax
- (847) 487-0292
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-28
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