Individual
JONATHAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5265 N CENTRAL AVE, CHICAGO, IL 60630-4656
(773) 282-9696
Mailing address
1905 WOODLAND AVE, PARK RIDGE, IL 60068-1910
(773) 706-0599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019035269
IL
Other
Enumeration date
07/01/2024
Last updated
01/06/2025
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