Individual
GRISEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2849 N KOSTNER AVE, CHICAGO, IL 60641-5346
(773) 931-7625
Mailing address
2849 N KOSTNER AVE, CHICAGO, IL 60641-5346
(773) 931-7625
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
12/08/2025
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