Servicios Profesionalez Gonzalez Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SERVICIOS PROFESIONALEZ GONZALEZ INC

Doing business as

Clinica Medica del Nino Jesus Inc

Practice address

158 E Chicago St
2ND Floor
Elgin, IL 60120-5524

Phone

(224) 281-3768

Fax

(630) 723-6196

NPI assigned

Sep 27, 2016

Last updated

Sep 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Yanin Gonzalez

Title

President

Phone

(630) 639-1627

Specialties & licenses 2

Addresses

Other names 1

• CLINICA MEDICA DEL NINO JESUS INC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Servicios Profesionalez Gonzalez Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Servicios Profesionalez Gonzalez Inc..

  dba Clinica Medica del Nino Jesus

  • General Practice Physician
  • Aurora, IL
  • NPI 1942696141
  NPD tax ID

Locations

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1598214934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 5TH AVE",
            "address_2": "1ST FLOOR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605055180",
            "telephone_number": "630-636-8939",
            "fax_number": "630-723-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E CHICAGO ST",
            "address_2": "2ND FLOOR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205524",
            "telephone_number": "224-281-3768",
            "fax_number": "630-723-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS PROFESIONALEZ GONZALEZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YANIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-639-1627",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA MEDICA DEL NINO JESUS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Select Physical Therapy of Illinois Limited Partnership
• Julia Ann Sellers, MA, AMFT
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• Chrissy Senior, MA, LPC
• Amanda Serafin, MSN, NP-C
• Pradip Sethi, MD
• Charles Edward Settles III, CADC
• Lidia Sexton
• Kristina Seydlitz, LCSW
• Ghazwan Shaaya, M.D.

• General Practice Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.