Allison Gonzalez, OT
Individual provider Active NPI Occupational Therapist · La Grange, IL
NPI 1982809000 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982809000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 56007952 (IL)
- Practice address
- 4735 Willow Springs Rd
La Grange, IL 60525-6130 - Phone
- (708) 352-6900
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56007952 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 56007952 | IL | Yes |
Addresses
Primary practice location
4735 Willow Springs Rd
La Grange, IL 60525-6130
Mailing address
115 Saint Thomas Way
Covington, LA 70433-1532
Phone (504) 481-9800
Other providers in La Grange, IL
- William E. Gipson
- Philip Joseph Girgis
- Amber T Glavor
- Luke Gleason
- Danielle Marie Goduto
- Gordon Fimreite, DC, S.C.
- Vladislav I Gorengaut
- Dominique Gousset
- Mallory Greenbank
- Kimberly Allison Gregoriou
All providers in La Grange, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.