Individual
DR. MARITZA G GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC2050, CHICAGO, IL 60637-1443
(773) 702-6118
Mailing address
5841 S MARYLAND AVE # MC2050, CHICAGO, IL 60637-1443
(773) 702-6118
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
R73243
AZ
207VM0101X
Maternal & Fetal Medicine Physician
01084370A
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036.149385
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.149385
LICENSE
IL
05
—
036.149385
—
IL
05
—
300031851
—
IN
Enumeration date
06/19/2012
Last updated
12/27/2024
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