Jared Gonzales

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.029468 Issued in IL

Practice address

10224 S Kedzie Ave Ste C
Evergreen Park, IL 60805-3700

Phone

(773) 941-6132

NPI assigned

Sep 9, 2025

Sex

Male

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Core Sport & Physical Therapy PLLC

  • Physical Therapist
  • Evergreen Park, IL
  • NPI 1376375394
  NPD

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1679454482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 HASTINGS RD",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605177521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10224 S KEDZIE AVE STE C",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053700",
            "telephone_number": "773-941-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.029468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Gillespie, CRNA
• Kenneth A Gleaves, PH.D., LCPC, NCACI
• Nancy L Gleaves, MA, LCPC, NCAC II
• Matthew John Glowacki, D.O.
• Brian C. Gold, LCSW
• Kendra Taylor Gorny
• Angelita M Gowin
• Madeline Graal, M.A., CCC-SLP
• Charita Graham
• Leslie E Grange, LPC

• Physical Therapist in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.