Gonzalez, Leticia
Gonzalez, Leticia is an individual health care provider with primary practice located at 3310 W Main St Suite 200, St Charles IL 60175-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gonzalez, Leticia can be contacted via phone (630) 897-6044.Contact Information
Primary practice address
3310 W Main St Suite 200
St Charles IL 60175-1000
Phone: (630) 897-6044
Fax: (630) 897-0180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036100864 | Illinois |
Profile Details
| NPI number | 1356313720 |
|---|---|
| LBN Legal business name | Gonzalez, Leticia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | May 19th, 2022 - about 2 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 | 1356313720 | NPPES |
| Illinois | MEDICAID | 036100864 |
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