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Contact Information

JORGE A GONZALEZ, MD
1125 WILLOWBROOK DR
SCHERERVILLE, IN46375-1488
 Phone: 219-218-8567
 Fax: 888-224-1384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JORGE A GONZALEZ · (Male)

NPI # 1053365932
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2006
Last updated 06/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036100122
  • IN License # 01049228A
  • NC License # 2017-01463
  • TX License # P2119
  • VA License # 0101262432
  • IL Medicaid 200411250A
  • Other 1053365932 NPI
  • IL Other 336-060457 ILLINOIS STATE
  • IN Other 000000280445 ANTHEM
Hospital affiliation(s)
  • METHODIST HOSPITALS INC - (Acute Care)
    600 GRANT ST
    GARY, IN 46402
  • PROVENA ST MARYS HOSPITAL - (Acute Care)
    500 W COURT ST
    KANKAKEE, IL 60901
  • WEST SUBURBAN MEDICAL CENTER - (Acute Care)
    3 ERIE COURT
    OAK PARK, IL 60302
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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