Dr. Grant Wilson Gonzalez is a Springfield, Illinois based male podiatrist with 12 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation in 2012. He is also affiliated with hospitals like Hshs Good Shepherd Hospital Inc and St Marys Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Grant Wilson Gonzalez for Podiatric Foot & Ankle Surgery is 016005651 in Illinois. Dr. Grant Wilson Gonzalez provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Dr. Grant Wilson Gonzalez speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1850604380
Enrollment ID:
I20150713002639
NPI Number:
1164856704
NPI Enumeration Date:
31 Aug, 2013
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Grant Wilson Gonzalez are as mentioned below.
License Number
Specialization
State
Status
016005651
Podiatric Foot & Ankle Surgery
Illinois
Primary
POD001231
Podiatric Foot & Ankle Surgery
Georgia
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Hshs Good Shepherd Hospital Inc (140019)
Shelbyville, IL
Acute Care Hospital
St Marys Hospital (140166)
Decatur, IL
Acute Care Hospital
Carlinville Area Hospital (141347)
Carlinville, IL
Critical Access Hospital
Decatur Memorial Hospital(140135)
Decatur, IL
Acute Care Hospital
St Johns Hospital (140053)
Springfield, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Grant Wilson Gonzalez is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Foot And Ankle Center Of Illinois Pc (9638347586)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Grant Wilson Gonzalez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
016005651
Other
Illinois
STATE OF ILLINOIS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2921 Montvale Dr, Springfield, Illinois
Zip:
62704-5359
Phone Number:
217-787-2700
Fax Number:
217-787-2715
Patients can reach Dr. Grant Wilson Gonzalez at 2921 Montvale Dr, Springfield, Illinois or can call to book an appointment on 217-787-2700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.