Organization
ASSOCIATED FAMILY PHYSICIANS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON ANGEL GONZALEZ MD (OWNER)
(847) 392-1500
Entity
Organization
Contact information
Practice address
1635 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-3944
(847) 392-1500
(847) 392-9706
Mailing address
1635 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-3944
(847) 392-1500
(847) 392-9706
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036094195
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094195
—
IL
Enumeration date
03/30/2012
Last updated
05/03/2012
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