Individual
HEATHER LYNN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
95 CARLETON AVE, GLEN ELLYN, IL 60137-5500
(630) 469-5555
Mailing address
513 S LODGE LN, LOMBARD, IL 60148-2944
(630) 991-3466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017944
IL
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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