person
Evert Gonzalez
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1356905251

Evert Gonzalez is a Student in an Organized Health Care Education/Training Program based in Louisville, IL. Evert Gonzalez practices in Chicago, IL. The NPI Number for Evert Gonzalez is 1356905251 and holds a License No. (Illinois).

The current practice location address for Evert Gonzalez is 836 W Wellington Ave, Chicago, IL and can be reached out via phone at 773-975-1600 and via fax at 773-296-5088.

Location: 836 W Wellington Ave, Chicago, IL, 40223-5176
person
Provider Profile Details
NPI Number
1356905251
Provider Name
Evert Gonzalez
Credential
Provider Entity Type
Individual
Gender
Male
Address
836 W Wellington Ave, Chicago, IL, 40223-5176
Phone Number
773-975-1600
Fax Number
773-296-5088
Provider Enumeration Date
04/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 KY
institution
Provider Business Practice Location Address Details
Address
836 W Wellington Ave
City
State
Zip
60657-5147
Phone Number
773-975-1600
Fax Number
773-296-5088
person
Provider Business Mailing Address Details
Address
836 W Wellington Ave
City
State
Zip
60657-5147
Phone Number
773-975-1600
Fax Number
773-296-5088
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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