Individual
MICHELLE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N COUNTY FARM RD, WHEATON, IL 60187-3977
(630) 682-7400
Mailing address
111 N COUNTY FARM RD, WHEATON, IL 60187-3977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041300591
IL
Other
Enumeration date
04/21/2015
Last updated
04/22/2015
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