Individual
RODOLFO CHOUSSAL-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2740 W FOSTER AVE STE 410, CHICAGO, IL 60625-3532
(773) 907-3400
(773) 907-0341
Mailing address
2740 W FOSTER AVE STE 410, CHICAGO, IL 60625-3532
(773) 907-3400
(773) 907-0341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34890
MT
207RI0200X
Infectious Disease Physician
Primary
036157658
IL
207RI0200X
Infectious Disease Physician
34890
MT
208M00000X
Hospitalist Physician
34890
MT
Other
Enumeration date
01/20/2012
Last updated
08/26/2021
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