Individual
MR. ARIEL J GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3307 W COMMERCIAL DR, MARION, IL 62959
(618) 998-1263
(618) 998-1265
Mailing address
PO BOX 1677, 3307 W COMMERCIAL DR, MARION, IL 62959
(618) 998-1263
(618) 998-1265
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0361072912
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361072912
—
IL
Enumeration date
06/27/2006
Last updated
07/08/2007
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