Individual
SALVADOR GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6201 W 95TH ST, OAK LAWN, IL 60453-3888
(708) 636-9393
(708) 636-2022
Mailing address
6201 W 95TH ST, OAK LAWN, IL 60453-3888
(708) 636-9393
(708) 636-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011652
IL
152W00000X
Optometrist
774
SD
Other
Enumeration date
07/22/2021
Last updated
03/23/2023
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