Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miguel G. Gonzalez, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1639161110

Miguel G. Gonzalez, MD is a Pathology in Park Ridge, Illinois. Qualified in 1991, 35 years ago. Practices with Midwest Diagnostic Pathology, SC, a 44-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Licensed in
IL
In the registry since
2005
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

1775 Dempster St Lutheran General Hospital / Pathology Dept
Park Ridge, IL 60068-1143
Phone: (847) 723-2210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 036096566 (IL)

Record details

NPI number1639161110
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Midwest Diagnostic Pathology, S.C. — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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