Individual
DR. MIGUEL ANGEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1254 S CANAL ST, CHICAGO, IL 60607-5213
(312) 226-0653
Mailing address
1212 N LA SALLE DR, #2303, CHICAGO, IL 60610-8027
(312) 209-1043
(312) 226-0838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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