Marissa Nicole Gonzales

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

7634 W Balmoral Ave
Chicago, IL 60656-1724

Phone

(613) 804-4268

NPI assigned

Dec 22, 2017

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)

Not enrolled

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1407362668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COUNTRY CT",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394183",
            "telephone_number": "630-247-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7634 W BALMORAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561724",
            "telephone_number": "613-804-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MARISSA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Gonzales, CST/CSFA
• Janae J Gonzales, MD
• Janet E. Gonzales, COTA/L
• Kathleen Marie Gonzales, APRN
• Marcos Gonzales, LSW
• Michael Gonzales, RBT
• Rufus R Gonzales, PHD
• Constanza Gonzalez Arancibia, NP
• Estefania V Gonzalez Arreaza
• Christian Gonzalez Bell, RBT

• Developmental Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.