Individual
ANGELA M GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 W BALLARD RD, DES PLAINES, IL 60016-4904
(847) 294-2300
Mailing address
5517 W HIGGINS AVE, CHICAGO, IL 60630-2100
(773) 316-1224
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004597
IL
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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