Individual
AMELIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9524 S. TRIPP AVE., OAK LAWN, IL 60453
(773) 443-3411
(708) 425-8272
Mailing address
9524 S. TRIPP AVE., OAK LAWN, IL 60453
(773) 443-3411
(708) 425-8272
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
057002705
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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