Individual
DR. DAVID ANDRES GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1725 W HARRISON ST STE 755, CHICAGO, IL 60612-3863
(312) 563-2024
Mailing address
1725 W HARRISON ST STE 755, CHICAGO, IL 60612-3863
(312) 563-2024
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
37041
TX
103TC0700X
Clinical Psychologist
Primary
07101680
IL
103TC0700X
Clinical Psychologist
37041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360215301
—
TX
01
—
360215302
CSHCN
TX
Enumeration date
01/25/2016
Last updated
12/14/2021
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