DR. MARIO F. GONZALEZ (NPI# 1871645572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871645572 |
Entity Type | Individual |
Full Name | DR. MARIO F. GONZALEZ |
Credential | D.C. |
Practice Address |
621 Madison St Ste C Evanston IL 60202-2203 |
Mailing Address |
1834 Glenview Rd Ste 2w Glenview IL 60025-6921 |
Practice Telephone | (847) 859-2563 |
Mailing Telephone | 8477303988 |
Mailing Fax Number | 8477303989 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-01-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38010869 | IL | Chiropractic Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6518 N Clark St, Chicago, IL 606264002 | 7737640008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740792795 | Mario Alberto Gonzalez | Family Medicine | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2017-10-31 |
1104335249 | Mario Atilio Gonzalez | Private Vehicle | 3710 Aranda Flds, Converse, TX 78109-3543 | 2017-09-20 |
1376077099 | Mario A Gonzalez | Private Vehicle | 5566 26th Ave Sw, Apt B, Naples, FL 34116-7553 | 2017-04-19 |
1083013320 | Mario Cesar Gonzalez | Dental Assistant | 26941 Rainbow Glen Dr Unit 753, Santa Clarita, CA 91351-5524 | 2014-08-21 |
1487066395 | Mario Gonzalez | Social Worker | 15321 Sdixie Hwy, Ste 311, Miami, FL 33157 | 2014-05-27 |
1467689497 | Mario David Gonzalez | Physical Therapist | 155 Zorsal Street, Urb. Los Montes, Dorado, PR 00646 | 2009-06-17 |
1396377925 | Mario Roberto Gonzalez | Nurse Practitioner | 18300 Houston Methodist Dr, Houston, TX 77058-6302 | 2020-02-11 |
1073012928 | Mario Carlos Gonzalez | Counselor | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2018-02-06 |
1063933968 | Mario Garcia Gonzalez | Physician Assistant | 601 W Terrell Ave, Fort Worth, TX 76104-3243 | 2017-06-29 |
1962938209 | Mario Enrique Gonzalez | Otolaryngology | University District Hospital, Bo. Monacillos, San Juan, PR 00935-0001 | 2017-05-05 |
Street Address |
621 MADISON ST STE C |
City | EVANSTON |
State | IL |
Zip Code | 60202-2203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053840686 | Dr Mario Dc Inc | Clinic/Center | 621 Madison St Ste C, Evanston, IL 60202-2203 | 2017-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
Find all providers in zip 60202 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346809621 | Susan Khorshid | Chiropractor | 1507 Chicago Ave, Evanston, IL 60201-4405 | 2019-06-10 |
1801452370 | Anna George Butler | Chiropractor | 910 Davis St, Evanston, IL 60201-3608 | 2019-05-10 |
1023502408 | Davidson Chiropractic Clinic - Evanston LLC | Chiropractor | 195 Feather Way Ste A, Evanston, WY 82930-9352 | 2018-06-19 |
1487167151 | Andrew John Eliszewski | Chiropractor | 500 Davis St Ste 109, Evanston, IL 60201-4600 | 2017-11-15 |
1508224247 | Evolution Spine & Sports Therapy, LLC | Chiropractor | 922 Noyes St, Evanston, IL 60201-2706 | 2016-02-09 |
1619390416 | James Ian Mccrackan | Chiropractor | 708 Church St Ste 204, Evanston, IL 60201-3881 | 2014-01-29 |
1487902938 | Abundant Transformation Co | Chiropractor | 1609a Chicago Ave, Evanston, IL 60201-4504 | 2012-08-15 |
1467710731 | Aaron Schreiber | Chiropractor | 708 Church St Ste 228, Evanston, IL 60201 | 2012-04-24 |
1003126178 | Chiropractic Health Management, LLC | Chiropractor | 1018 Davis St, 2nd Floor, Evanston, IL 60201-3610 | 2010-10-07 |
1447565080 | Michael Moy | Chiropractor | 1018 Davis St Fl 2, Second Floor, Evanston, IL 60201-3610 | 2010-08-06 |
Find all providers in EVANSTON |
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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.