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SERVICIOS PROFESIONALEZ GONZALEZ INC.. NPI 1942696141


NPI Information

NPI: 1942696141
Provider Name: SERVICIOS PROFESIONALEZ GONZALEZ INC..

Doing Business As: CLINICA MEDICA DEL NINO JESUS

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 14D2092333

Address:
593 5TH AVE
AURORA, IL
ZIP 60505
Phone: (630) 636-8939
Get Directions

SERVICIOS PROFESIONALEZ GONZALEZ INC.. is a general practice in Aurora, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SERVICIOS PROFESIONALEZ GONZALEZ INC.. NPI is 1942696141. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinica Medica Del Nino Jesus.

The provider's business location address is:

593 5TH AVE
AURORA, IL
ZIP 60505-180
Phone: (630) 636-8939
Fax: (630) 723-6196

The provider's authorized official is Yanin Gonzalez .
The authorized official title is President and has the following contact phone number (630) 639-1627.

The CLIA number assigned to this NPI record is 14D2092333 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2015 and was last updated on 4/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174H00000XHealth EducatorNo
2208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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