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Contact Information

MARIE A MARKHAM GONZALEZ
5629 DOVER DR
LISLE, IL60532
 Phone: 847-224-8695
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for MARIE A MARKHAM GONZALEZ · (Female)

NPI Number 1649602822
Status Active
Credentials
Entity Individual
Enumeration date 07/30/2013
Last updated 07/30/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # M62554167798
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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