A I Gonzalez, LTD
Organization Active NPI Professional Counselor · Chicago, IL
NPI 1285875658 · NPPES record last updated Mar 16, 2009
Key facts
- NPI
- 1285875658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.007099 (IL)
- Legal business name
- A I GONZALEZ, LTD
- Practice address
- 2733 W 23Rd St
Chicago, IL 60608-3601 - Phone
- (773) 843-9139
- NPI assigned
- Mar 16, 2009
- Organization subpart
- No
Authorized official
- Name
- Ms. Ana I Gonzalez, MA, LCPC
- Title
- Psychotherapist
- Phone
- (773) 843-9139
Practitioners 1
-
Ana I Gonzalez, MA, LCPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 180.007099 | IL | Yes |
Addresses
Primary practice location
2733 W 23Rd St
Chicago, IL 60608-3601
Mailing address
2524 W Thomas St
Chicago, IL 60622-3406
Phone (773) 843-9139
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.