Individual
DR. JORGE A GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 WILLOWBROOK DR, SCHERERVILLE, IN 46375-1488
(219) 218-8567
(888) 224-1384
Mailing address
1125 WILLOWBROOK DR, SCHERERVILLE, IN 46375-1488
(219) 218-8567
(888) 224-1384
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101262432
VA
207L00000X
Anesthesiology Physician
01049228A
IN
207L00000X
Anesthesiology Physician
036100122
IL
207L00000X
Anesthesiology Physician
Primary
P2119
TX
207N00000X
Dermatology Physician
2017-01463
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000280445
ANTHEM
IN
01
—
1053365932
NPI
—
05
—
200411250A
—
IL
01
—
336-060457
ILLINOIS STATE
IL
Enumeration date
05/22/2006
Last updated
06/02/2025
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