Individual
DR. RUFUS R GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6238 N CLARK ST, CHICAGO, IL 60660-1202
(708) 512-4854
Mailing address
6238 N CLARK ST, CHICAGO, IL 60660-1202
(708) 512-4854
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007450
IL
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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