Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GRANT WILSON GONZALEZ, D.P.M.
Active Sole ProprietorDR. GRANT WILSON GONZALEZ, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in SPRINGFIELD, Illinois. NPI 1164856704 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1164856704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2013 (12.929811936307 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
POD001231 (GA)016005651 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2921 MONTVALE DRSPRINGFIELD, IL, 627045359Browse IL providers · Browse ZIP 62704
- Phone
- 2177872700
- Fax
- 2177872715
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Foot & Ankle Surgery Podiatrist Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN ANDREW SHOUDEL | DPM | 1760480750 |
| RICHARD LEE BROWN | D.P.M. | 1275531188 |
| MARY LEONA SIPES SAATHOFF | DPM | 1376524470 |
| PHILIP G. SIEBERT | DPM | 1710968813 |
| MR. JOHN G FLEISCHLI | DPM | 1689616815 |
| SCOTT DAVID SCHLEUNES | DPM | 1033748512 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.