Individual
LISSET MADERA-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 S KARLOV AVE, CHICAGO, IL 60632-4123
(773) 535-4875
Mailing address
6231 S ALBANY AVE, CHICAGO, IL 60629-2615
(773) 396-3577
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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