Individual
MR. FERNANDO GONZALEZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
207 E OHIO ST # 271, CHICAGO, IL 60611-4092
(708) 351-8212
Mailing address
207 E OHIO ST # 271, CHICAGO, IL 60611-4092
(708) 351-8212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150102999
IL
1041C0700X
Clinical Social Worker
Primary
149.021105
IL
Other
Enumeration date
07/31/2018
Last updated
04/01/2021
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