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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154684728 NPPES
Illinois MEDICAID 036.149385
Illinois MEDICAID 300031851
Illinois Other 036.149385

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