Individual
ANITA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1729 TALL OAKS DR, PLAINFIELD, IL 60586-5750
(815) 210-7557
Mailing address
1729 TALL OAKS DR, PLAINFIELD, IL 60586-5750
(815) 210-7557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1460010053
IL
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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