Individual
JAZMIN A GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3744 S 56TH CT, CICERO, IL 60804-4311
(773) 641-5735
Mailing address
3744 S 56TH CT, CICERO, IL 60804-4311
(773) 641-5735
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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