Individual
EMMANUEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2003 W FULTON ST STE 303, CHICAGO, IL 60612-2345
(312) 243-2223
(312) 243-2227
Mailing address
2003 W FULTON ST STE 303, CHICAGO, IL 60612-2345
(312) 243-2223
(312) 243-2227
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009355
IL
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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