Individual
LISETTE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 W WINCHESTER RD STE 106, LIBERTYVILLE, IL 60048-5312
(847) 816-6335
Mailing address
1860 W WINCHESTER RD STE 106, LIBERTYVILLE, IL 60048-5312
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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