Healthcare Provider Details

I. General information

NPI: 1104837475
Provider Name (Legal Business Name): MARK H GONZALEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 W TAYLOR ST
CHICAGO IL
60612-7232
US

IV. Provider business mailing address

835 S WOLCOTT AVE E-270, MC 844
CHICAGO IL
60612-3748
US

V. Phone/Fax

Practice location:
  • Phone: 866-600-2273
  • Fax:
Mailing address:
  • Phone: 312-996-7161
  • Fax: 312-996-9025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number036-063614
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: