SERVICIOS PROFESIONALEZ GONZALEZ INC.. (NPI# 1942696141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942696141 |
| Entity Type | Organization |
| Organization Name | SERVICIOS PROFESIONALEZ GONZALEZ INC.. |
| Other Organization Name | CLINICA MEDICA DEL NINO JESUS |
| Practice Address |
593 5th Ave Aurora IL 60505-5180 |
| Practice Telephone | 6306368939 |
| Practice Fax Number | 6307236196 |
| Mailing Telephone | 6306368939 |
| Mailing Fax Number | 6307236196 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | MISS YANIN GONZALEZ (PRESIDENT) |
| Authorized Official Telephone | 6306391627 |
| Is Organization Subpart | Y |
| Parent Organization Name | SERVICIOS PROFESIONALES GONZALEZ INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174H00000X | Health Educator | Other Service Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinica Medica del Nino Jesus | Doing Business As Name - Organization |
| Street Address |
593 5TH AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60505-5180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1720638224 | Latanya Rush | Technician | 1664 Briarheath Dr, Aurora, IL 60505 | 2019-09-17 |
| 1285282103 | Susan Burroway | Technician | 815 Pearl St., Aurora, IL 60505 | 2019-09-04 |
| 1629624499 | Jean Amanda Nalwoga | Counselor | 1305 E New Indian Trail, Aurora, IL 60505 | 2019-08-16 |
| 1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
| 1518408426 | Oluwole Michael Olubajo | Nurse's Aide | 716 Mountain Street, Apt#2e, Aurora, IL 60505 | 2017-03-10 |
| 1881017960 | Anthony Maranto | Counselor | 1305 E. Indian Trail Ct., Aurora, IL 60505 | 2014-01-27 |
| 1891121141 | Smithhealthcare Properties | Assisted Living Facility | 105 E Galena Bvld #3, Aurora, IL 60505 | 2013-09-18 |
| 1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
| 1972878197 | Donald C. Kellner Dds-aurora PC | Dentist | 143 South Lincoln Ave, Suite A, Aurora, IL 60505 | 2012-03-21 |
| Find all providers in zip 60505 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968505 | Dynamic Health Center, LLC | General Practice | 2993 S Peoria St Ste 270, Aurora, CO 80014-5710 | 2017-08-18 |
| 1407007461 | Larisa Y Ravdel | General Practice | 1421 S Potomac St Ste 320, Aurora, CO 80012-4512 | 2008-10-08 |
| 1710142641 | Mark David Mclean | General Practice | 3292 Peoria St., Aurora, CO 80010-1517 | 2008-07-21 |
| 1275754590 | Chesley Lamb | General Practice | 2550 S. Parker Rd., Suite 400, Aurora, CO 80014 | 2007-05-02 |
| 1669509675 | Melissa A Rasmussen | General Practice | 2400 South Havana St, Aurora, CO 80214 | 2007-02-27 |
| 1184786980 | Yin Woo | General Practice | 1577 Havana St, Aurora, CO 80010-2325 | 2006-12-15 |
| 1588669626 | Evan Jay Pollack | General Practice | 13701 E Mississippi Ave, Aurora, CO 80012-6141 | 2005-06-16 |
| 1811502990 | Poudre Valley Medical Group, LLC | General Practice | 2450 S Peoria St Ste 245, Aurora, CO 80014-5475 | 2020-09-15 |
| 1780171751 | Tiffany Iris Hsiao | General Practice | 12631 E 17th Ave Ofc 1, Aurora, CO 80045 | 2018-04-16 |
| 1679969331 | Mark Joseph Kissler | General Practice | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-04-09 |
| Find all providers in AURORA | ||||
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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.