Individual
MARIANGELINE GONZALEZ ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17333 LA GRANGE RD STE 100, TINLEY PARK, IL 60487-7510
(779) 334-0002
Mailing address
17333 LA GRANGE RD STE 100, TINLEY PARK, IL 60487-7510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036172905
IL
Other
Enumeration date
06/03/2022
Last updated
07/22/2025
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