Individual
GREZELRO GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
840 W IRVING PARK RD, 301, CHICAGO, IL 60613-3011
(773) 975-3269
(773) 975-3270
Mailing address
840 W BLACKHAWK ST, 1811, CHICAGO, IL 60642-2592
(630) 877-2893
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.012989
IL
Other
Enumeration date
08/15/2015
Last updated
04/24/2016
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