Individual
LILIAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.067488
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
22681-875
WI
208000000X
Pediatrics Physician
125.067488
IL
2080P0201X
Pediatric Allergy/Immunology Physician
22681-875
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100206695
—
WI
Enumeration date
07/23/2015
Last updated
07/21/2025
Update your record
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