MR. JOSE MARIO GONZALEZ (NPI# 1952623258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952623258 |
| Entity Type | Individual |
| Full Name | MR. JOSE MARIO GONZALEZ |
| Practice Address |
5050 S Kedzie Ave Chicago IL 60632-3009 |
| Mailing Address |
1350 W Fullerton Ave Unit 404 Chicago IL 60614-2198 |
| Practice Telephone | 7734766323 |
| Mailing Telephone | 7732443361 |
| Enumeration Date | 2010-02-28 |
| Last Update Date | 2010-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.039540 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548755 | Jose Ramon Gonzalez | Behavior Technician | 16930 Sw 119th Ave, Miami, FL 33177-2114 | 2020-08-10 |
| 1215499090 | Jose Antonio Gonzalez | Student in an Organized Health Care Education/Training Program | 13890 Sw 143rd St Unit G, Miami, FL 33186-7556 | 2019-04-02 |
| 1346731197 | Jose Alberto Gonzalez Sr. | Specialist/Technologist, Other | 15005 Sw 8th Ter, Miami, FL 33194-2448 | 2018-05-27 |
| 1205335734 | Jose Antonio Gonzalez | Driver | 45 Sovereign Way, Hutchinson Island, FL 34949-8367 | 2018-02-11 |
| 1548784978 | Jose Luis Gonzalez | Technician/Technologist | 9400 Perrin Beitel Rd Ste 102, San Antonio, TX 78217-3511 | 2017-07-27 |
| 1831564046 | Jose Gonzalez | Nurse Practitioner | 9480 S. Eastern Ave. Suite 262, Henderson, NV 89052 | 2015-12-14 |
| 1568859551 | Jose T Gonzalez Jr. | Nurse Practitioner | 2017 W Expressway 83 Ste 1, Weslaco, TX 78596-4304 | 2015-04-17 |
| 1134510142 | Jose A Gonzalez | Registered Nurse | 3321 Nw 23rd Ct, Laud Lakes, FL 33311-2742 | 2015-02-12 |
| 1447664842 | Jose Gonzalez | Psychologist | Barcelo #12 Esq 173, Cidra, PR 00739-0000 | 2014-06-13 |
| 1588097653 | Jose Trejo Gonzalez | Radiologic Technologist | 14722 Country Rose Ln, Cypress, TX 77429-8044 | 2013-08-13 |
| Street Address |
5050 S KEDZIE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60632-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750554697 | Sonrisa Family Dental On Kedzie PC | Dentist | 5050 S Kedzie Ave, Chicago, IL 60632-3009 | 2008-04-11 |
| 1801230438 | Piya Singh | Dentist | 5050 S Kedzie Ave, Chicago, IL 60632-3009 | 2013-04-25 |
| 1609163757 | Nina Arora, Dds, P.C. | Dentist | 5050 S Kedzie Ave, Chicago, IL 60632-3009 | 2011-07-08 |
| 1508169251 | Mark Mendiola, D.d.s., P.C. | Dentist | 5050 S Kedzie Ave, Unit A, Chicago, IL 60632-3009 | 2010-12-17 |
| 1821317421 | Ankur V Shah Dmd PC | Dentist | 5050 S Kedzie Ave, Unit A, Chicago, IL 60632-3009 | 2010-05-20 |
| 1508198268 | Dilipkumar G Bhatt | Pharmacist | 5050 S Kedzie Ave, Chicago, IL 60632-3009 | 2010-02-05 |
| 1164453221 | Kmart Operations LLC | Pharmacy | 5050 S Kedzie Ave, Chicago, IL 60632-3009 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474790 | Amanda Rose Dirnberger | Nurse Practitioner | 3229-43 W. 47th Pl., Chicago, IL 60632 | 2019-08-28 |
| 1982121042 | Brown Archer Dental PC | Dentist | 4893 S Archer Ave, Chicago, IL 60632 | 2017-08-29 |
| 1538577085 | Metrosmiles - Archer Heights Dental | Dentist | 5141 S Cicero Ave, Chicago, IL 60632 | 2014-07-29 |
| 1174955173 | Thresholds | Community/Behavioral Health | 718-24 West 47th St, Chicago, IL 60632 | 2013-08-01 |
| 1659612570 | Sapex Home Healthcare, Inc. | In Home Supportive Care | 4107 West 47th Street, Chicago, IL 60632 | 2013-03-04 |
| 1912275462 | Dawn Marie Mackessy | Pharmacist | 5435 S. Kedzie Ave, Chicago, IL 60632 | 2011-12-12 |
| 1033494752 | Molly Elizabeth Mcdermott | Pharmacist | District 222-walgreens, Chicago, IL 60632 | 2011-10-13 |
| 1780908434 | Chicago Electrical Trauma Research Institute | Specialist/Technologist, Other | 4047 W. 40th Street, Chicago, IL 60632 | 2010-03-24 |
| 1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
| 1295968121 | Smile Lee Faces | Dentist | 4197 S Archer Ave, Chicago, IL 60632 | 2009-08-26 |
| Find all providers in zip 60632 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1003416439 | Denise Venketramen | Pharmacist | 939 W Madison St Apt 310, Chicago, IL 60607-2656 | 2020-10-26 |
| 1427657063 | Sundis I Islefo | Pharmacist | 2647 W Rascher Ave Apt 2w, Chicago, IL 60625-3106 | 2020-10-24 |
| 1497353361 | Eleanor English | Pharmacist | 910 W Huron St Unit 1209, Chicago, IL 60642-5968 | 2020-10-13 |
| 1942808001 | Iris Esmeralda Gutierrez | Pharmacist | 3343 S Leavitt St, Chicago, IL 60608-6018 | 2020-10-12 |
| 1417564790 | Tara Airola | Pharmacist | 857 N Marshfield Ave Unit 1, Chicago, IL 60622-5132 | 2020-09-30 |
| 1174137129 | Tangtang Zhao | Pharmacist | 9148 S Commercial Ave, Chicago, IL 60617-4307 | 2020-09-06 |
| 1710591334 | Karolina Maculewicz | Pharmacist | 371 W Ontario St, Chicago, IL 60654-5716 | 2020-09-01 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1245844026 | Rachel Klepacz | Pharmacist | 101 N Clinton St, Chicago, IL 60661-1505 | 2020-08-31 |
| Find all providers in CHICAGO | ||||
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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.