SearchIllinois101YP2500X

Sara Gonzalez, NCC

NPI 1760985303 · on the registry since 2018 · sole proprietor

Practice

Address
2753 W Division St
Chicago, IL 60622
Phone
(773) 495-9980

Additional practice sites

  • 1639 N Keystone Ave Unit 2, Chicago, IL
  • 6250 W North Ave, Chicago, IL
  • 3166 N Lincoln Ave Ste 224, Chicago, IL

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
NC, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-29

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