Organization · NPI-2

A I Gonzalez, Ltd

Counselor, Professional · Chicago, IL

NPI number1285875658
StatusActive
Last updated in NPPESMar 16, 2009

Details

NPI
1285875658
Entity type
Organization (NPI-2)
Legal business name
A I Gonzalez, Ltd
Organization subpart
No
Enumeration date
Mar 16, 2009
Last updated
Mar 16, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional180.007099ILYes

Practice location

2733 W 23rd St
Chicago, IL 60608-3601

Phone 773-843-9139

Mailing address

2524 W Thomas St
Chicago, IL 60622-3406

Phone 773-843-9139

Authorized official

Ana I Gonzalez
Psychotherapist
7738439139

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