Traveling Doc Inc.

NPI #1902102734 in Cicero, Illinois

Provider Information

NPI Number: 1902102734
Entity Type: Organization
Organization Name: Traveling Doc Inc.
Primary Specialty: General Practice
Enumeration Date: Jan 26, 2011
Last Updated: Jan 26, 2011

Practice Location

Address: 1904 S CICERO AVE
City: Cicero
State: Illinois
ZIP Code: 60804-2545
Phone: (855) 484-7362

Authorized Official

Name: DR. CARLOS GONZALEZ JR., M.D.
Title: MEDICAL DIRECTOR
Phone: (561) 624-5347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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