Jazmin A Gonzalez

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

3744 S 56TH CT
Cicero, IL 60804-4311

Phone

(773) 641-5735

NPI assigned

Oct 18, 2023

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2023.

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1104608736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 S 56TH CT",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044311",
            "telephone_number": "773-641-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 S 56TH CT",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044311",
            "telephone_number": "773-641-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JAZMIN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoselin Daysi Gomez Herrera
• Christopher Cruz Gomez
• Francisco Javier Gomez, PTA
• Michael Gomez
• Jacqueline N/a Gonzalez, PTA
• Emily Ann Goodlin, DO
• Sarah Elizabeth Grote
• Gur Nanak PLLC
• H & M Medical, SC
• Barbara Jean Hardin, RN, IBCLC

• All providers in Cicero, IL
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.