Individual
SUSANA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 N SACRAMENTO BLVD, CHICAGO, IL 60612-1046
(312) 623-5967
Mailing address
700 N SACRAMENTO BLVD, CHICAGO, IL 60612-1046
(312) 623-5967
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.214022
IL
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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