Individual
MR. MICHAEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4905 MAIN ST, DOWNERS GROVE, IL 60515-3650
(630) 515-1185
Mailing address
4905 MAIN ST, DOWNERS GROVE, IL 60515-3650
(630) 515-1185
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
3000244
IL
Other
Enumeration date
02/09/2018
Last updated
04/23/2021
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