Search › Illinois › 213ES0103X
Grant Gonzalez, D.P.M
NPI 1164856704 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2921 Montvale Dr
Springfield, IL 62704 - Phone
- (217) 787-2700
- Fax
- (217) 787-2715
- Organisation at this address
- Foot & Ankle Center Of Illinois Pc
Springfield Neurosurgical Assocaites, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213ES0103X
- Licence states on file
- GA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
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