Active NPI
Theresa Manriquez Gonzalez, LPN
- Licensed Vocational Nurse
- Wheeling, IL
National Provider Identifier
1083350409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 043.114162
- Practice address
- 553 McHenry Rd
Wheeling, IL 60090-9237 - Phone
- (847) 808-6215
- Fax
- (847) 808-6210
- NPI assigned
- May 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 043.114162 | IL | Primary |
Addresses
Primary practice location
553 McHenry Rd
Wheeling, IL 60090-9237
Mailing address
553 McHenry Rd
Wheeling, IL 60090-9237
Phone (847) 808-6215
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | thgonzalez@franciscanministries.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043.114162 | IL | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1083350409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "553 MCHENRY RD",
"city": "WHEELING",
"state": "IL",
"postal_code": "600909237",
"telephone_number": "847-808-6215",
"fax_number": "847-808-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "553 MCHENRY RD",
"city": "WHEELING",
"state": "IL",
"postal_code": "600909237",
"telephone_number": "847-808-6215",
"fax_number": "847-808-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "THERESA",
"middle_name": "MANRIQUEZ",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "IL",
"license": "043.114162",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "thgonzalez@franciscanministries.org",
"affiliation": "N",
"address_1": "553 McHenry Rd",
"city": "Wheeling",
"state": "IL",
"country_code": "US",
"postal_code": "600909237",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.