Provider Demographics
NPI:1003114091
Name:GONZALEZ, HECTOR (DN)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7310 W NORTH AVE
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-4252
Mailing Address - Country:US
Mailing Address - Phone:773-263-7556
Mailing Address - Fax:708-456-2898
Practice Address - Street 1:7310 W NORTH AVE
Practice Address - Street 2:SUITE 3A
Practice Address - City:ELMWOOD PARK
Practice Address - State:IL
Practice Address - Zip Code:60707-4252
Practice Address - Country:US
Practice Address - Phone:773-263-7556
Practice Address - Fax:708-456-2898
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181.000368172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath