Gonzalez, Richard P

Gonzalez, Richard P is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Gonzalez, Richard P can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036083260 Illinois

Profile Details

NPI number 1730136060
LBN Legal business name Gonzalez, Richard P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Mar 2nd, 2016 - about 9 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 1730136060 NPPES
Louisiana MEDICAID 1151181
Louisiana MEDICAID 255987100
Louisiana Other 51044493
Louisiana Other 17-10433
Louisiana Other 51592788
Louisiana MEDICAID 00120450
Louisiana MEDICAID 000044493
Louisiana Other 020042466
Louisiana Other 51593901

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