Individual
DR. JAMES JOSEPH GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 E GRANT ST, STE 211, MACOMB, IL 61455-3368
(309) 833-3706
Mailing address
515 E GRANT ST, STE 211, MACOMB, IL 61455-3368
(309) 833-3706
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036136309
IL
208600000X
Surgery Physician
054734
GA
208600000X
Surgery Physician
A75715
CA
Other
Enumeration date
04/08/2008
Last updated
09/17/2014
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