SearchIllinois235Z00000X

Desiree Gonzalez

NPI 1083140370 · on the registry since 2017

Practice

Address
4330 Home Ave
Stickney, IL 60402
Phone
(708) 603-0384

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-05-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois