Gonzalez, Maritza G
Gonzalez, Maritza G is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave # Mc2050 , Chicago IL 60637-1443. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Gonzalez, Maritza G can be contacted via phone (773) 702-6118.Contact Information
Primary practice address
5841 S Maryland Ave # Mc2050
Chicago IL 60637-1443
Phone: (773) 702-6118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | R73243 | Arizona |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 01084370A | Indiana |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 036.149385 | Illinois |
Profile Details
| NPI number | 1154684728 |
|---|---|
| LBN Legal business name | Gonzalez, Maritza G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2012 |
| Last updated | Dec 16th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154684728 | NPPES |
| Illinois | MEDICAID | 036.149385 | |
| Illinois | MEDICAID | 300031851 | |
| Illinois | Other | 036.149385 |
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