| Adolfo D. Gonzales, M.D., S.C. | |
|
2017 S. Western Ave. Chicago IL 60608 | |
| (773) 847-7878 | |
| (773) 847-7879 |
| Full Name | Adolfo D. Gonzales, M.D., S.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 2017 S. Western Ave., Chicago, Illinois |
| Authorized Official Name and Position | Adolfo Divino Gonzales (PRESIDENT) |
| Authorized Official Contact | 7738477878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolfo D. Gonzales, M.D., S.C. 2017 S. Western Ave. Chicago IL 60608 Ph: (773) 847-7878 | Adolfo D. Gonzales, M.D., S.C. 2017 S. Western Ave. Chicago IL 60608 Ph: (773) 847-7878 |
| NPI Number | 1841596137 |
|---|---|
| Provider Enumeration Date | 02/03/2011 |
| Last Update Date | 02/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841596137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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