DR. PEDRO JUAN GONZALEZ (NPI# 1194038711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194038711 |
| Entity Type | Individual |
| Full Name | DR. PEDRO JUAN GONZALEZ |
| Credential | M.D. |
| Practice Address |
500 Asbury Ave Evanston IL 60202-2724 |
| Mailing Address |
401 N Michigan Avenue Suite 1200 Chicago IL 60611-4264 |
| Practice Telephone | 8473163320 |
| Practice Fax Number | 8473162915 |
| Mailing Telephone | 3126350973 |
| Mailing Fax Number | 8132909691 |
| Enumeration Date | 2010-07-24 |
| Last Update Date | 2015-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 036135725 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE NO | 036135725 | 01 |
| IL | 036135725 | 05 | |
| IL | RR MEDICARE | P01402298 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730470048 | Pedro Gonzalez | Psychologist | Condominio Garden Hills Plaza Torre I, Apt. 501 Ave. Luis Vigoreaux, Guaynabo, PR 00966 | 2011-04-21 |
| 1457486094 | Pedro J. Gonzalez | Dentist | 31 Calle Jose De Diego, Ciales, PR 00638-3229 | 2007-02-23 |
| 1770622052 | Pedro P Gonzalez | Dentist | 11912 Valley Blvd, Suite A, El Monte, CA 91732-3153 | 2007-02-05 |
| 1265514079 | Pedro Piolan Gonzalez | Internal Medicine | 25 President Ave, Lavallette, NJ 08735 | 2006-10-20 |
| 1003428228 | Pedro Mario Gonzalez | Recreation Therapist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-08-19 |
| 1144839812 | Pedro Gonzalez | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-07-28 |
| 1306493036 | Pedro Anthony Gonzalez Jr. | Pharmacist | 4355 N Sheridan Rd, Chicago, IL 60613-1497 | 2019-08-19 |
| 1801357082 | Pedro M Gonzalez | Technician, Other | 4802 25th Ave, Astoria, NY 11103-1021 | 2019-03-28 |
| 1972094886 | Pedro Gonzalez | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-05-25 |
| 1447610498 | Pedro Gonzalez | Counselor | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2016-03-03 |
| Street Address |
500 ASBURY AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376537670 | Resurrection Senior Services | Skilled Nursing Facility | 500 Asbury Ave, Evanston, IL 60202-2724 | 2005-09-01 |
| 1063021731 | Aimee Jane Aledia Pena | Physical Therapist | 500 Asbury Ave, Evanston, IL 60202-2724 | 2020-07-28 |
| 1740827914 | Melissa Haberstroh | Social Worker | 500 Asbury Ave, Evanston, IL 60202-2724 | 2019-12-05 |
| 1770070013 | Mary Murad | Nurse Practitioner | 500 Asbury Ave, Evanston, IL 60202-2724 | 2018-04-20 |
| 1598137895 | Evanston Skilled Nursing Facility LLC | Skilled Nursing Facility | 500 Asbury Ave, Evanston, IL 60202-2724 | 2015-10-26 |
| 1770964678 | Shelly Greenawalt | Occupational Therapy Assistant | 500 Asbury Ave, Evanston, IL 60202-2724 | 2015-06-16 |
| 1770907230 | Esther Sault | Nurse Practitioner | 500 Asbury Ave, Evanston, IL 60202-2724 | 2014-02-04 |
| 1427485838 | Ka Kei Lon | Occupational Therapist | 500 Asbury Ave, Evanston, IL 60202-2724 | 2013-09-30 |
| 1891011615 | Grove of Evanston LLC | Skilled Nursing Facility | 500 Asbury Ave, Evanston, IL 60202-2724 | 2010-04-19 |
| 1063673481 | Ranjeet Singh | Physical Medicine & Rehabilitation | 500 Asbury Ave, Evanston, IL 60202-2724 | 2008-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699053405 | Edward John Mccarron | Physical Medicine & Rehabilitation | 9300 Hamlin Avenue, Evanston, IL 60203-1302 | 2011-07-27 |
| 1558831743 | Krystyna Pawelczyk | Physical Medicine & Rehabilitation | 820 Foster St, Evanston, IL 60201-3212 | 2018-11-29 |
| 1043765225 | Connie Hsu | Physical Medicine & Rehabilitation | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2016-08-17 |
| 1063673481 | Ranjeet Singh | Physical Medicine & Rehabilitation | 500 Asbury Ave, Evanston, IL 60202-2724 | 2008-06-18 |
| 1518132182 | Naila Mohsin Shaikh | Physical Medicine & Rehabilitation | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2008-04-24 |
| 1073537304 | Joseph L Feldman | Physical Medicine & Rehabilitation | 2650 Ridge Ave, Department of Phys Med Suite 2204, Evanston, IL 60201-1718 | 2006-07-27 |
| 1831116813 | Miledones N. Eliades | Physical Medicine & Rehabilitation | 2650 Ridge Ave, Department of Phys Med Suite 2204, Evanston, IL 60201-1718 | 2006-07-16 |
| 1649297524 | Justina Li Tanhehco | Physical Medicine & Rehabilitation | 2650 Ridge Ave, Department of Phys Med Suite 2204, Evanston, IL 60201-1718 | 2006-07-16 |
| 1164449138 | Jean Ann Cavanaugh | Physical Medicine & Rehabilitation | 2650 Ridge Ave, Department of Phys Med Suite 2204, Evanston, IL 60201-1718 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023982 | Tabitha Lyn Ganske | Physical Medicine & Rehabilitation | 27 Auerbach Pl, Glen Carbon, IL 62034-1596 | 2020-11-06 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1316569064 | Boss Povieng | Physical Medicine & Rehabilitation | 1620 W Harrison St Ste 403, Chicago, IL 60612-3801 | 2020-05-15 |
| 1265052781 | Nomad Enterprises | Physical Medicine & Rehabilitation | 5100 Forest Ave Unit 208, Downers Grove, IL 60515-4855 | 2020-04-24 |
| 1205488590 | Michelle E Roberts | Physical Medicine & Rehabilitation | 225 S Sangamon St Ste 1, Chicago, IL 60607-5167 | 2019-07-16 |
| 1104487289 | Ping Wang | Physical Medicine & Rehabilitation | 2320 Kalamazoo Dr, Naperville, IL 60565-6327 | 2019-06-27 |
| 1255999744 | Neil Dominic Seno Villarosa | Physical Medicine & Rehabilitation | 7313 Woodward Ave Apt 301, Woodridge, IL 60517-2549 | 2019-05-30 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1053873513 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N Convent St Ste 1000, Bourbonnais, IL 60914-1497 | 2019-04-03 |
| 1609335942 | Urlacherehab | Physical Medicine & Rehabilitation | 141 N Maple St, Palatine, IL 60067-4910 | 2019-03-16 |
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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.