Organization
DR MARIO DC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO F. GONZALEZ DC (PRESIDENT)
(847) 859-2563
Entity
Organization
Contact information
Practice address
621 MADISON ST STE C, EVANSTON, IL 60202-2203
(847) 859-2563
Mailing address
621 MADISON ST STE C, EVANSTON, IL 60202-2203
(847) 859-2563
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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