Individual
MRS. JENNIFER JOY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 COBB BLVD, KANKAKEE, IL 60901-5202
(815) 549-2948
Mailing address
736 COBB BLVD, KANKAKEE, IL 60901-5202
(815) 549-2948
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
12/15/2010
Last updated
11/10/2015
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