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Jennifer Kimberly Gonzalez

Student in an Organized Health Care Education/Training Program in Hoffman Estates, IL. Individual provider (NPI-1).

NPI number1407366289
StatusActive
Last updated in NPPESOct 5, 2017

Details

NPI
1407366289
Entity type
Individual (NPI-1)
Name
Jennifer Kimberly Gonzalez
Sex
Female
Sole proprietor
No
Enumeration date
Oct 5, 2017
Last updated
Oct 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

1215 Fairmont Rd
Hoffman Estates, IL 60169-1208

Phone 224-730-4202

Mailing address

1215 Fairmont Rd
Hoffman Estates, IL 60169-1208

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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