MAYRA GONZALEZ (NPI# 1548550262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548550262 |
| Entity Type | Individual |
| Full Name | MAYRA GONZALEZ |
| Credential | M.D. |
| Practice Address |
7000 West Cermak Road Berwyn IL 60402 |
| Mailing Address |
213 N Racine Ave 100 Chicago IL 60607-1644 |
| Practice Telephone | 7084848090 |
| Mailing Telephone | 3127739730 |
| Mailing Fax Number | 7738668014 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036135401 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | F400173081 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871094797 | Mayra Gonzalez | Technician | 1605 Angel Falls St, Las Vegas, NV 89142-1224 | 2018-02-26 |
| 1316325087 | Mayra Gonzalez | Occupational Therapist | 8530 Sw 20th St, Miami, FL 33155-1008 | 2015-05-13 |
| 1598370173 | Mayra Gonzalez | Student in an Organized Health Care Education/Training Program | 849 E 6th St, Los Angeles, CA 90021-1026 | 2020-09-10 |
| 1730799057 | Mayra Nineth Gonzalez | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-08-01 |
| 1427518968 | Mayra Corral Gonzalez | Behavior Technician | 2354 Powell St, Emeryville, CA 94608-1738 | 2019-03-21 |
| 1154890911 | Mayra Gonzalez | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2018-11-21 |
| 1043721442 | Mayra Gonzalez | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2017-10-12 |
| 1760909972 | Mayra A Gonzalez | Behavioral Analyst | 1905 Business Center Dr Unit 100, San Bernardino, CA 92408-3460 | 2017-08-28 |
| 1447788526 | Mayra Gonzalez | Counselor | 758 St Helens Ave, Tacoma, WA 98402-3706 | 2017-06-01 |
| 1215303060 | Mayra G Gonzalez | Social Worker | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2015-08-17 |
| Street Address |
7000 WEST CERMAK ROAD |
| City | BERWYN |
| State | IL |
| Zip Code | 60402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760910962 | Acosta and Cabrera Medical Associates, S.c. | Family Medicine | 3100 Oak Park Ave Ste 1s, Berwyn, IL 60402-4177 | 2017-06-01 |
| 1780006619 | Villasenor In-home Patient Care LLC | Family Medicine | 1639 Oak Park Ave, Berwyn, IL 60402-1782 | 2014-01-12 |
| 1881031656 | Stephanie S Kim | Family Medicine | 3231 S. Euclid Avenue, 5th Floor, Berwyn, IL 60402 | 2013-06-03 |
| 1851644942 | Lose Weight 1 LLC | Family Medicine | 901 Lancaster Ave, Suite 100, Berwyn, PA 19312-1710 | 2012-10-26 |
| 1356586853 | Susan Marie Kennedy | Family Medicine | 1185 S Leopard Rd, Berwyn, PA 19312-2028 | 2008-12-11 |
| 1306090212 | Perez Health, Incorporated | Family Medicine | 6842 W. Cermak Road, Berwyn, IL 60402-2240 | 2008-11-06 |
| 1265690523 | Aaron D Lee | Family Medicine | 3231 S Euclid Ave, 5th Floor, Berwyn, IL 60402 | 2008-05-23 |
| 1265623540 | Charito M Delatorre | Family Medicine | 1909 Clinton Ave, Berwyn, IL 60402-1642 | 2007-08-05 |
| 1801003991 | Edgar E Archbold | Family Medicine | 6917 W Cermak Rd, Berwyn, IL 60408 | 2007-05-17 |
| 1679604979 | Matthew Lewullis | Family Medicine | 1001 Chesterbrook Boulevard, Berwyn, PA 19312 | 2007-03-08 |
| Find all providers in BERWYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.