Active NPI
Yvonne Gonzalez, LAC, LMT
- Acupuncturist
- Highland Park, IL
National Provider Identifier
1104549880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198001524
- Practice address
- 1919 Skokie Valley Rd
Highland Park, IL 60035-2361 - Phone
- (224) 765-5550
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227007728 | IL | |
| Acupuncturist | 171100000X | 198001524 | IL | Primary |
Addresses
Primary practice location
1919 Skokie Valley Rd
Highland Park, IL 60035-2361
Mailing address
4454 N Albany Ave
Chicago, IL 60625-8289
Phone (773) 443-3708
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 |
|---|---|---|---|
| 198001524 | IL | MD | Acupuncturist |
| 227007728 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1104549880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4454 N ALBANY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606258289",
"telephone_number": "773-443-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 SKOKIE VALLEY RD",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352361",
"telephone_number": "224-765-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "YVONNE",
"credential": "LAC, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227007728",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198001524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.