Santiago-Gonzalez, Juan Alberto

Santiago-Gonzalez, Juan Alberto is an sole proprietor health care provider with primary practice located at 836 W Wellington Ave Rm 4813Cc , Chicago IL 60657-5147. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Santiago-Gonzalez, Juan Alberto can be contacted via phone (773) 296-5073.

Contact Information

Primary practice address
836 W Wellington Ave Rm 4813Cc Chicago IL 60657-5147
Phone: (773) 296-5073
Fax: (773) 296-7199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 12893 Puerto Rico
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036125266 Illinois
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 036.125266 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036.125266 Illinois

Profile Details

NPI number 1801089016
LBN Legal business name Santiago-Gonzalez, Juan Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2007
Last updated May 13th, 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 1801089016 NPPES
Illinois Other 036125266 STATE LICENSE

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