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

Practice address

593 5TH Ave
Aurora, IL 60505-5180

Phone

(630) 636-8939

Fax

(630) 723-6196

NPI assigned

Apr 14, 2015

Last updated

Apr 14, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

SERVICIOS PROFESIONALES GONZALEZ INC.As reported in NPPES

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 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

Part of

Servicios Profesionalez Gonzalez Inc

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 Inc

  • General Practice Physician
  • Elgin, IL
  • NPI 1598214934
  NPD tax ID

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1942696141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 5TH AVE",
            "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": "593 5TH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605055180",
            "telephone_number": "630-636-8939",
            "fax_number": "630-723-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS PROFESIONALEZ GONZALEZ INC..",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERVICIOS PROFESIONALES GONZALEZ INC.",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica del Nino Jesus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sequel Schools, LLC (Northern Illinois Academy)
• Sequel Schools, LLC (Northern Illinois Acadmey)
• Tina Marie Serio, MS, ATC, CSCS
• Cynthia Alexandra Serna
• Maribel Serrato, PSY.D.
• Dana L Sester, FNP-BC
• Laurence A Sexton, D.D.S.
• Michelle Sexton
• Jorge Sfeir, M.D.
• Sarah Shaban, DMD

• General Practice Physician in Aurora, IL
• Providers in Aurora, 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 Apr 14, 2015; 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.