SearchIllinois122300000X

Basilee Gonzalez, D.D.S

NPI 1518215474 · on the registry since 2012 · sole proprietor

Practice

Address
3337 N Harlem Ave
Chicago, IL 60634
Phone
(773) 481-2772
Fax
(773) 481-2742
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-08-27

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