DR. RICARDO C GONZALES JR. (NPI# 1114027455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114027455 |
| Entity Type | Individual |
| Full Name | DR. RICARDO C GONZALES JR. |
| Credential | M.D. |
| Practice Address |
3250 W 159th St Markham IL 60428-4044 |
| Practice Telephone | 7083313076 |
| Practice Fax Number | 7083313078 |
| Mailing Telephone | 7083313076 |
| Mailing Fax Number | 7083313078 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356453864 | Ricardo Orlando Gonzales | Psychiatry & Neurology | 1127 13th St, Modesto, CA 95354-0907 | 2006-08-31 |
| 1932185840 | Ricardo R Gonzales | Counselor | 168 Ave. De San Marcos, Glorieta, NM 87535 | 2005-12-22 |
| 1407926819 | Ricardo Andres Gonzales | Orthopaedic Surgery | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-11-09 |
| Street Address |
3250 W 159TH ST |
| City | MARKHAM |
| State | IL |
| Zip Code | 60428-4044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689157026 | Sarah Carr | Speech-Language Pathologist | 16315 Richmond Avenue, Markham, IL 60428 | 2018-09-12 |
| 1619156247 | Z and P Transportation Inc | Secured Medical Transport (VAN) | 16422 California Ave, Markham, IL 60428 | 2007-10-31 |
| 1205870169 | Willie J Rucker | Dentist | 16048 Kedzie Avenue, Markham, IL 60428 | 2006-06-15 |
| 1689921777 | Green Energy Group | Preferred Provider Organization | 16643 Kedzie Ave, Suite 102, Markham, IL 60428 | 2012-08-08 |
| 1144367715 | Stanley Melvin Robinson | Occupational Therapist | 15125 Sacramento St, Markham, IL 60428-2733 | 2007-01-31 |
| 1255788774 | Versatile Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Heather Dr, Markham, IL 60428-2773 | 2016-05-16 |
| 1679020739 | Empress Home Healthcare Inc. | Home Health | 15652 Homan Ave, Ste 15, Markham, IL 60428-3825 | 2016-09-07 |
| 1386886794 | Changing Futures | Private Vehicle | 15813 Clifton Park Ave, Markham, IL 60428-3920 | 2009-03-31 |
| 1326280462 | Loretta L Bayless | Private Vehicle | 15813 Clifton Park Ave, Markham, IL 60428-3920 | 2009-04-06 |
| 1003196973 | Welllife-a Subsidiary of Innovative Sustainable Solutions | Community/Behavioral Health | 15808 Clifton Park Ave, Markham, IL 60428-3921 | 2011-08-24 |
| Find all providers in zip 60428 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724901 | Ar Healthcare | Clinic/Center | 11 E Main St Ste A, St Charles, IL 60174-1925 | 2020-09-08 |
| 1568073674 | Downers Grove Immediate Care Inc. | Clinic/Center | 425 Ogden Ave, Downers Grove, IL 60515-3066 | 2020-08-12 |
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1548808728 | Unitypoint Health At Work | Clinic/Center | 1100 13th Ave, East Moline, IL 61244-1455 | 2019-12-18 |
| 1265076749 | Inhome Primecare LLC | Clinic/Center | 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 | 2019-10-29 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.