| Dr Leticia Gonzalez, MD | |
|
3310 W Main St, Suite 200, St Charles, IL 60175-1000 | |
| (630) 897-6044 | |
| (630) 897-0180 |
| Full Name | Dr Leticia Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 30 Years |
| Location | 3310 W Main St, St Charles, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356313720 | NPI | - | NPPES |
| 036100864 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036100864 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Macneal Hospital | Berwyn, IL | Hospital |
| Loyola University Medical Center | Maywood, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola Medical Group Llc | 6305109547 | 106 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Adventist Health Partners, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932650496 PECOS PAC ID: 0244135762 Enrollment ID: O20040127000064 |
| Entity Name | Women Ob Gyn Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497942908 PECOS PAC ID: 4981781556 Enrollment ID: O20080407000331 |
| Entity Name | Obhg Illinois Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700107216 PECOS PAC ID: 7810179702 Enrollment ID: O20110314001065 |
| Entity Name | Loyola Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leticia Gonzalez, MD Po Box 657, St Charles, IL 60174-0657 Ph: (630) 897-6044 | Dr Leticia Gonzalez, MD 3310 W Main St, Suite 200, St Charles, IL 60175-1000 Ph: (630) 897-6044 |
Dr. William H Kobak, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3310 W Main St, Suite 200, St Charles, IL 60175 Phone: 630-897-6044 Fax: 630-897-0180 | |
Edward M Newman, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3310 W Main St, Suite 200, St Charles, IL 60175 Phone: 630-897-6044 Fax: 630-897-0180 | |
Dr. Teresa L. Homan, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3310 W Main St, Suite 200, St Charles, IL 60175 Phone: 630-897-6044 Fax: 630-897-0180 | |
Nicole M Witte, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2900 Foxfield Rd, Suite 306, St Charles, IL 60174 Phone: 630-845-2500 Fax: 630-845-9928 | |
Stewart I Odell, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2310 Dean St, St Charles, IL 60175 Phone: 630-584-8984 Fax: 630-584-1308 | |
Daniel James Lee, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2310 Dean St, St Charles, IL 60175 Phone: 630-584-8984 Fax: 630-584-1308 |