Individual
DR. LETICIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3310 W MAIN ST, SUITE 200, ST CHARLES, IL 60175-1000
(630) 897-6044
(630) 897-0180
Mailing address
PO BOX 657, ST CHARLES, IL 60174-0657
(630) 897-6044
(630) 897-0180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036100864
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100864
—
IL
Enumeration date
02/01/2006
Last updated
05/19/2022
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