Jose Gonzalez

NPI #1083305163 in Chicago, Illinois

Provider Information

NPI Number
1083305163
Entity Type
Individual
Name
Jose Gonzalez
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
May 18, 2023
Last Updated
May 18, 2023

Practice Location

Address
820 S DAMEN AVE
ZIP Code
60612-3728
Phone
(312) 569-8387

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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