Henry Gonzales in Chicago - Podiatrist

Henry Gonzales - NPI 1053466797

Henry Gonzales is a Podiatrist in Chicago, Illinois. Henry Gonzales practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Henry Gonzales is 1053466797. The last update date is 2017-03-27.

Henry Gonzales's current location address is 2008 N Pulaski Rd, Chicago, Illinois. You can contact this provider via phone number 7739686942. The mailing address for Henry Gonzales is 2008 N Pulaski Rd, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Henry Gonzales
Address 2008 N Pulaski Rd, Chicago, Illinois
Phone Number 7739686942
Fax Number
Sole Proprietor Y
Credentials D.P.M.

NPI Number Detail

NPI Number 1053466797
Provider Enumeration Date 2007-01-24
Last Updated Date 2017-03-27

Provider Mailing Address Detail

Address 2008 N Pulaski Rd
City Chicago
State Illinois (IL)
Post Code 606393767
Phone Number 7739686942
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 016-005275
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
016-005275 IL LIC POD

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FAQs about Henry Gonzales

What is the unique identifier code issued to Henry Gonzales by the Centers for Medicare & Medicaid Services (CMS)?

The Henry Gonzales has been assigned the NPI (National Provider Identifier) 1053466797. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Henry Gonzales is located?

The Henry Gonzales is situated at the following address: 2008 N Pulaski Rd, Chicago, IL, 606393767.

What is the Henry Gonzales's area of specialization and corresponding taxonomy classification?

The Henry Gonzales's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1053466797 assigned to Henry Gonzales?

The Henry Gonzales was issued its 1053466797 on 2007-01-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Henry Gonzales's information last updated?

The Henry Gonzales's information was last updated on 2017-03-27.

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