Emily Gonzalez, DPT/PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018975 Issued in IL

Practice address

241 Golf Mill Ctr
Suite 201-203
Niles, IL 60714-1224

Phone

(847) 699-9757

Fax

(847) 699-5037

NPI assigned

Mar 2, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1285908558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR",
            "address_2": "SUITE 201-203",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141224",
            "telephone_number": "847-699-9757",
            "fax_number": "847-699-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR",
            "address_2": "SUITE 201-203",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141224",
            "telephone_number": "847-699-9757",
            "fax_number": "847-699-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "DPT/PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golf Mill Family Clinic
• Golf Mill Medical Center LTD
• Golf Mill Pharmacy and Medical Supply Inc
• Golf Road Back and Neck Clinic, S.C.
• Debe Gonzales, BSN RN
• Tyler Goodwine, LCSW
• Emilia Gordon, DPT
• Michael Gordon
• Olena Gordon, M.D.
• Rachel Denise Goress

• Physical Therapist in Niles, IL
• Providers in Niles, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.