Jerry Gonzalez is a Driver based in Waukegan, IL. Jerry Gonzalez practices in Waukegan, IL. The NPI Number for Jerry Gonzalez is 1982073961 and holds a License No. 45-3068110 (Illinois).
The current practice location address for Jerry Gonzalez is 1222 North Ave, Waukegan, IL and can be reached out via phone at 847-980-2410.
Location: 1222 North Ave, Waukegan, IL, 60085-2942
Provider Profile Details
NPI Number
1982073961
Provider Name
Jerry Gonzalez
Credential
Provider Entity Type
Individual
Gender
Male
Address
1222 North Ave, Waukegan, IL, 60085-2942
Phone Number
847-980-2410
Fax Number
Provider Enumeration Date
09/19/2015
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1222 North Ave
City
State
Zip
60085-2942
Phone Number
847-980-2410
Fax Number
Provider Business Mailing Address Details
Address
1222 North Ave
City
State
Zip
60085-2942
Phone Number
847-980-2410
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
45-3068110 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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