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NPI Code Detail

MEDICARE: CESAR DURAN GONZALEZ LSW

MEDICARE: CESAR DURAN GONZALEZ LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150112011IL

General Provider Information

NPI Number : 1760296693
Entity Type Code : Individual
Provider Name (Legal Business Name) : CESAR DURAN GONZALEZ LSW
Provider Business Mailing Address
First Line : 6014 N CAMPBELL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60659-4107
Country : US
Telephone Number : 773-573-6009
Fax Number :
Provider Business Practice Location Address
First Line : 355 RIDGE AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3328
Country : US
Telephone Number : 847-316-6262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2025
Last Update Date : 04/06/2026

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Directions to “ CESAR DURAN GONZALEZ LSW” Practice Location

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