Individual
CARLOS ANTONIO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4311 S KEDVALE AVE, CHICAGO, IL 60632-4004
(773) 552-1139
Mailing address
2834 N MILWAUKEE AVE, CHICAGO, IL 60618
(773) 772-1139
(773) 772-9260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036040539
IL
Other
Enumeration date
02/12/2007
Last updated
01/22/2020
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