Traveling Doc Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036.127046 Issued in IL

Legal business name

TRAVELING DOC INC.

Practice address

1904 S Cicero Ave
Cicero, IL 60804-2545

Phone

(855) 484-7362

Fax

(708) 863-7213

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Gonzalez Jr., M.D.NPI 1144234253

Title

Medical Director

Phone

(561) 624-5347

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Gonzalez Jr., M.D.

  • General Practice Physician
  • Palm Beach Gardens, FL
  • NPI 1144234253
  NPD (past) Authorized official
• Samuel Lespinasse, M.D.

  • General Practice Physician
  • Cicero, IL
  • NPI 1356617849
  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1902102734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 S CICERO AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042545",
            "telephone_number": "855-484-7362",
            "fax_number": "708-863-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 S CICERO AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042545",
            "telephone_number": "855-484-7362",
            "fax_number": "708-863-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING DOC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-624-5347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036.127046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Board of Trustees of the University of Illinois
• Maria Tirado-Valdez
• Wendy Torres
• Town of Cicero
• Town of Cicero
• Adam Turner
• Ucp Seguin of Greater Chicago
• Untheory You, PLLC
• Lynlee Ingrid Uphues, RPH
• Brenda Valdez

• General Practice Physician in Cicero, IL
• Providers in Cicero, 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 Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.