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Organization
ADOLFO D. GONZALES, M.D., S.C.
Active
Organization
ADOLFO D. GONZALES, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADOLFO DIVINO GONZALES M.D. (PRESIDENT)
(773) 847-7878
Entity
Organization
Contact information
Practice address
2017 S. WESTERN AVE., CHICAGO, IL 60608
(773) 847-7878
(773) 847-7879
Mailing address
2017 S. WESTERN AVE., CHICAGO, IL 60608
(773) 847-7878
(773) 847-7879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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