Organization Active NPI

Maria E.Gonzalez MD

  • Internal Medicine Physician
  • Wheeling, IL
National Provider Identifier
1992839013
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036090259 Issued in IL
Legal business name
MARIA E.GONZALEZ MD
Practice address
794 W Dundee Rd
Wheeling, IL 60090-2652
Phone
(847) 229-0505
Fax
(847) 229-9405
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Maria E Gonzalez, MDNPI 1912988783
Title
Owner
Phone
(847) 229-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036090259 IL Primary

Addresses

Primary practice location

794 W Dundee Rd
Wheeling, IL 60090-2652

Mailing address

794 W Dundee Rd
Wheeling, IL 60090-2652
Phone (847) 229-0505

Other names 1

  • Maria E.Gonzalez MD Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1021245Maria E Gonzalez MD794 W Dundee Rd, Wheeling, IL 60090Certificate of waiverJan 15, 2028

National Provider Directory

National Provider Directory

Locations

794 W Dundee Rd
Wheeling, IL 60090
Phone (847) 229-0505

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1992839013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 W DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902652",
            "telephone_number": "847-229-0505",
            "fax_number": "847-229-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 W DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902652",
            "telephone_number": "847-229-0505",
            "fax_number": "847-229-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA E.GONZALEZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-229-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036090259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maria E.Gonzalez MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.