Individual
DEBE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
8310 N OLCOTT AVE, NILES, IL 60714-2520
(847) 663-1705
Mailing address
8310 N OLCOTT AVE, NILES, IL 60714-2520
(847) 663-1705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041292911
IL
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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