Individual provider Active NPI

Maritza G Gonzalez, M.D.

  • Maternal & Fetal Medicine Physician
  • Chicago, IL
National Provider Identifier
1154684728
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
036.149385 Issued in IL
Practice address
5841 S Maryland Ave # Mc2050
Chicago, IL 60637-1443
Phone
(773) 702-6118
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R73243 AZ
Maternal & Fetal Medicine Physician 207VM0101X 01084370A IN
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X 036.149385 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave # Mc2050
Chicago, IL 60637-1443

Mailing address

5841 S Maryland Ave # Mc2050
Chicago, IL 60637-1443
Phone (773) 702-6118

Other practice location 1

1501 N Campbell Ave
Dept Ob/Gyn Box 245078
Tucson, AZ 85724-0001
Phone (520) 626-6636

Other practice location 2

901 MacArthur Blvd
Munster, IN 46321-2901
Phone (773) 702-5200

Other practice location 3

900 N Westmoreland Rd Ste 114
Lake Forest, IL 60045-1680
Phone (312) 695-7542

Other identifiers 3

IdentifierTypeStateIssuer
036.149385MedicaidIL
036.149385OtherILLICENSE
300031851MedicaidIN

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
I20190913000567 IL Practitioner - Obstetrics/Gynecology 8921353236 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

900 N Westmoreland Rd
Suite 114
Lake Forest, IL 60045-1680
Phone (847) 535-6263

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.149385ILMDMaternal & Fetal Medicine Physician
01084370AINMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Jul 31, 2019 Accepting new patients
Community Care Network Inc Multi-Specialty CurrentSince Dec 30, 2022 Accepting new patients
The University of Chicago Medical Center Multi-Specialty CurrentSince Jul 31, 2019 Accepting new patients
Northwestern Medical Faculty Foundation Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Central Dupage Physician Group Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Central Dupage Physician Group Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Saint Anthony Health Affiliates Multi-Specialty CurrentSince Oct 16, 2020 Accepting new patients
Family Christian Health Center Multi-Specialty Past Accepting new patients
Family Christian Health Center Multi-Specialty Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

302 Randall Rd
Ste 303
Geneva, IL 60134
Phone (630) 262-7400

302 Randall Rd
Geneva, IL 60134
Phone (630) 208-6775

900 N Westmoreland Rd
Ste 114
Lake Forest, IL 60045
Phone (312) 695-7542

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

222 Indianapolis Blvd
Ste 200
Schererville, IN 46375
Phone (219) 322-7900

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1154684728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC2050",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "773-702-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC2050",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "773-702-6118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 N Campbell Ave",
            "address_2": "Dept Ob/Gyn Box 245078",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857240001",
            "country_code": "US",
            "telephone_number": "520-626-6636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212901",
            "country_code": "US",
            "telephone_number": "773-702-5200",
            "fax_number": "773-702-5160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Westmoreland Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451680",
            "country_code": "US",
            "telephone_number": "312-695-7542",
            "fax_number": "312-694-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARITZA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "R73243",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "01084370A",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036.149385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.149385",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036.149385",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300031851",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.