Individual
JOAQUIN B. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3134 NORTH CLARK STREET, CHICAGO, IL 60673-2915
(773) 880-9722
(312) 766-4917
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-9600
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01060560A
IN
207RI0011X
Interventional Cardiology Physician
Primary
036-112529
IL
207RI0011X
Interventional Cardiology Physician
83659
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100333959
—
WI
Enumeration date
10/25/2005
Last updated
08/18/2025
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