Gonzalzles, Armand A
Gonzalzles, Armand A is an individual health care provider with primary practice located at 2045 W. Washington Blvd M/C 698, Chicago IL 60612-2428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gonzalzles, Armand A can be contacted via phone (312) 996-2000.Contact Information
Primary practice address
2045 W. Washington Blvd M/C 698
Chicago IL 60612-2428
Phone: (312) 996-2000
Fax: (312) 413-7812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036052969 | Illinois |
Profile Details
| NPI number | 1104823228 |
|---|---|
| LBN Legal business name | Gonzalzles, Armand A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Apr 28th, 2011 - about 13 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 | 1104823228 | NPPES |
| Illinois | MEDICAID | 036052969 |
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