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Contact Information

JACQUELINE N GONZALEZ, PTA
3521 S 56TH CT
CICERO, IL60804
 Phone: 708-714-7919
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for JACQUELINE N GONZALEZ · (Female)

NPI # 1265096945
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 04/27/2019
Last updated 02/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 160.007922
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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