Individual provider Active NPI

Daniel Marcos Gonzalez, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Oak Lawn, IL
National Provider Identifier
1083147573
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
036170451 Issued in IL
Practice address
4440 W 95TH St Ste Aip
Oak Lawn, IL 60453-2600
Phone
(800) 655-2656
Fax
(412) 822-7411
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036170451 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036170451 IL Primary
Internal Medicine Physician 207R00000X 036170451 IL

Addresses

Primary practice location

4440 W 95TH St Ste Aip
Oak Lawn, IL 60453-2600

Mailing address

28592 Network PL
Chicago, IL 60673-1285
Phone (800) 655-2656

Other practice location 1

10837 S Cicero Ave Ste 200
Oak Lawn, IL 60453-6459
Phone (708) 636-7575

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address dgonzalez405592@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807001236 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5395282479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, shared by 39 NPIs, 3,081 clinicians

Practice addresses (Care Compare)

10837 S Cicero Ave
Suite 200
Oak Lawn, IL 60453-6458
Phone (708) 636-7575

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 30, 2024 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Jul 25, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 25, 2024 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

28592 Network Pl
Chicago, IL 60673

10837 S Cicero Ave
Ste 200
Oak Lawn, IL 60453
Phone (708) 346-7297

4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1083147573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28592 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731285",
            "telephone_number": "800-655-2656",
            "fax_number": "412-822-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST STE AIP",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "800-655-2656",
            "fax_number": "412-822-7411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10837 S Cicero Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604536459",
            "country_code": "US",
            "telephone_number": "708-636-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DANIEL",
        "middle_name": "MARCOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036170451",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036170451",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036170451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "10837 S Cicero Ave Ste 200",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604536459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgonzalez405592@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10837 S Cicero Ave Ste 200",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604536459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.