Individual
RAQUEL GONZALEZ HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10020 DONALD S POWERS DR, MUNSTER, IN 46321-4054
(219) 703-2434
(219) 703-6634
Mailing address
2681 N BURLING ST, CHICAGO, IL 60614-1513
(224) 256-0598
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036165199
IL
208600000X
Surgery Physician
Primary
208600000X
IN
2086X0206X
Surgical Oncology Physician
036165199
IL
Other
Enumeration date
07/18/2017
Last updated
11/18/2025
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