Carlos Gonzalez

NPI #1164158515 in Wauconda, Illinois

Provider Information

NPI Number: 1164158515
Entity Type: Individual
Name: Carlos Gonzalez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 28, 2022
Last Updated: Jul 28, 2022

Practice Location

Address: 363 N MAIN ST # A
City: Wauconda
State: Illinois
ZIP Code: 60084-3036
Phone: (847) 487-0290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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