Dr NICOLE GONZALEZ is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.
IN HOME MEDICAL GROUP LLC
2222 E STATE ST
SUITE 209
ROCKFORD
IL
611041572
Tel: 8159888500
| Npi | 1063958254 |
| Pac Id | 3274816723 |
| Professional Enrollment Id | I20170208001547 |
| Last Name | GONZALEZ |
| First Name | NICOLE |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | IN HOME MEDICAL GROUP LLC |
| Group Practice Pac Id | 3779612395 |
| Number Of Group Practice Members | 42 |
| Line 1 Street Address | 2222 E STATE ST |
| Line 2 Street Address | SUITE 209 |
| Marker Of Address Line 2 Suppression | |
| City | ROCKFORD |
| State | IL |
| Zip Code | 611041572 |
| Phone Number | 8159888500 |
| Hospital Affiliation Ccn 1 | 140233 |
| Hospital Affiliation Lbn 1 | OSF SAINT ANTHONY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 140012 |
| Hospital Affiliation Lbn 2 | KATHERINE SHAW BETHEA HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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