Active NPI
Dante Gonzalez
- Student in an Organized Health Care Education/Training Program
- Wheaton, IL
National Provider Identifier
1376395210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 26W171 Roosevelt Rd
Wheaton, IL 60187-6002 - Phone
- (630) 909-8000
- NPI assigned
- Apr 3, 2024
- Last updated
- Jun 5, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
26W171 Roosevelt Rd
Wheaton, IL 60187-6002
Mailing address
555 Thornhill Dr Apt 112
Carol Stream, IL 60188-2727
Phone (847) 525-0687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240521001789 | IN | Order and Referring Only - Physical Medicine and Rehabilitation | 5294177382 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1376395210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 THORNHILL DR APT 112",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882727",
"telephone_number": "847-525-0687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26W171 ROOSEVELT RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601876002",
"telephone_number": "630-909-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DANTE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-03",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.