Individual
DR. IVELISS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3644 S ARCHER AVE, CHICAGO, IL 60609-1044
(773) 523-1700
(773) 523-1855
Mailing address
3644 S ARCHER AVE, CHICAGO, IL 60609-1044
(773) 523-1700
(773) 523-1855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.294218
IL
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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