Healthcare Provider Details

I. General information

NPI: 1982994679
Provider Name (Legal Business Name): JULIO CESAR ARNAU GONZALEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 12/01/2021
Certification Date: 12/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 N WESTERN AVE
CHICAGO IL
60618-3726
US

IV. Provider business mailing address

4025 N WESTERN AVE
CHICAGO IL
60618-3726
US

V. Phone/Fax

Practice location:
  • Phone: 773-279-6543
  • Fax: 773-279-6516
Mailing address:
  • Phone: 773-279-6543
  • Fax: 773-279-6516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036135504
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: