Provider Demographics
NPI:1174293831
Name:GONZALEZ MUNOZ, ROCIO D (PA)
Entity type:Individual
Prefix:MISS
First Name:ROCIO
Middle Name:D
Last Name:GONZALEZ MUNOZ
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3650 W ARMITAGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-3611
Mailing Address - Country:US
Mailing Address - Phone:312-698-9040
Mailing Address - Fax:855-618-2276
Practice Address - Street 1:3650 W ARMITAGE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-3611
Practice Address - Country:US
Practice Address - Phone:312-698-9040
Practice Address - Fax:855-618-2276
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2022-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
IL85.008624363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant