Individual
DESIREE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 HOME AVE, STICKNEY, IL 60402-4314
(708) 603-0384
Mailing address
4330 HOME AVE, STICKNEY, IL 60402-4314
(708) 603-0384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
217.000352
IL
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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