Individual provider · Type 1 NPI
Grant Wilson Gonzalez, D.P.M.
Foot & Ankle Surgery Podiatrist · Springfield, IL
NPI number
1164856704
Active
Practice location
2921 Montvale Dr
Springfield, IL 62704-5359
Fax (217) 787-2715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD001231 (GA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016005651 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
5 other providers at this address
- Foot & Ankle Center of Illinois PCPrimary Podiatric Medicine Podiatrist Springfield, IL NPI 1598058547
- Springfield Neurosurgical Assocaites, S.c.Surgery Physician Springfield, IL NPI 1841477247
- John M. Sigle, DPMPrimary Podiatric Medicine Podiatrist Springfield, IL NPI 1174502868
- Patricia Ann DennisonSurgical Assistant Springfield, IL NPI 1760876999
- Shy L. Wagoner, CSTSurgical Technologist Springfield, IL NPI 1164655452
Other foot & ankle surgery podiatrist providers in Springfield
- Scott David Schleunes, DPMFoot & Ankle Surgery Podiatrist Springfield, IL NPI 1033748512
- Richard Lee Brown, D.P.M.Foot & Ankle Surgery Podiatrist Springfield, IL NPI 1275531188
- Mary Leona Sipes Saathoff, DPMFoot & Ankle Surgery Podiatrist Springfield, IL NPI 1376524470
- John G. Fleischli, DPMFoot & Ankle Surgery Podiatrist Springfield, IL NPI 1689616815
- Philip G. Siebert, DPMFoot & Ankle Surgery Podiatrist Springfield, IL NPI 1710968813
- John Andrew Shoudel, DPMFoot & Ankle Surgery Podiatrist Springfield, IL NPI 1760480750
About NPI 1164856704
Grant Wilson Gonzalez, D.P.M.'s National Provider Identifier is 1164856704, issued on Aug 31, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Springfield, IL. The record was last updated on Mar 7, 2023.