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General NPI Number Information
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NPI Number | 1053840686
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Entity Type | Organization
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Legal Business Name | DR MARIO DC INC
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 621 MADISON ST STE C
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City | EVANSTON
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State | IL
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Zip | 60202-2203
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Country | US
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Telephone | 847-859-2563
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Fax |
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Provider Business Mailing Address
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Address Line | 621 MADISON ST STE C
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City | EVANSTON
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State | IL
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Zip | 60202-2203
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Country | US
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Telephone | 847-859-2563
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIO F. GONZALEZ
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Credential | DC
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Telephone | 847-859-2563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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