Gonzalez, Pedro Juan

Gonzalez, Pedro Juan is an individual health care provider with primary practice located at 500 Asbury Ave , Evanston IL 60202-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gonzalez, Pedro Juan can be contacted via phone (847) 316-3320.

Contact Information

Primary practice address
500 Asbury Ave Evanston IL 60202-2724
Phone: (847) 316-3320
Fax: (847) 316-2915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036135725 Illinois

Profile Details

NPI number 1194038711
LBN Legal business name Gonzalez, Pedro Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2010
Last updated Oct 29th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194038711 NPPES
Illinois Other P01402298 RR MEDICARE
Illinois Other 036135725 RR MEDICARE
Illinois MEDICAID 036135725 RR MEDICARE

Popular Providers