Organization
ADOLFO D. GONZALES, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADOLFO DIVINO GONZALES M.D. (PRESIDENT)
(773) 847-7878
Entity
Organization
Contact information
Practice address
2017 S. WESTERN AVE., CHICAGO, IL 60608
(773) 847-7878
(773) 847-7879
Mailing address
2017 S. WESTERN AVE., CHICAGO, IL 60608
(773) 847-7878
(773) 847-7879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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