IndividualActive
Julio Gonzalez, MD
NPI 1639144579 · Sports Medicine (Family Medicine) Physician · Glen Ellyn, IL
Provider details
- NPI number
- 1639144579
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036112440 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone: (630) 469-9200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 713260
Chicago, IL 60677-1260
Registry dates
- Enumerated
- 2006-02-22
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.