Jose Gonzalez
Jose Gonzalez is a Clinical Medical Laboratory in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
820 S Damen AveChicago, IL 60612-3728
Phone: (312) 569-8387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X (IL) |
|---|
Record details
| NPI number | 1083305163 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 18, 2023 |
| Last updated in NPPES | May 18, 2023 |
| Certification date | May 18, 2023 |
| Mailing address | 1955 S Central Ave, Cicero, IL 60804-2298 |
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