Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gabriel Stefano Gonzales-Portillo, MD

Individual provider Surgery Physician · NPI 1710622394

Gabriel Stefano Gonzales-Portillo, MD is a Surgery Physician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1740 W Taylor St
Chicago, IL 60612-7232
Phone: (813) 777-1507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence R79435 (AZ)

Record details

NPI number1710622394
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 28, 2022
Last updated in NPPESNovember 23, 2024
Certification dateNovember 23, 2024

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