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Individual

DR. JOSE MANUEL ROBERTI GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RSA/SA-C

Contact information

Practice address
21341 WINDY HILL DR, FRANKFORT, IL 60423-8621
(786) 252-2679
Mailing address
21341 WINDY HILL DR, FRANKFORT, IL 60423-8621
(786) 252-2679

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
17-212
FL
246ZC0007X
Surgical Assistant
238.000556
IL
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
238.000556
IDFPR
IL
Enumeration date
04/18/2017
Last updated
08/18/2022
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