Gonzalez, Jerry

Gonzalez, Jerry is an individual health care provider with primary practice located at 1222 North Ave , Waukegan IL 60085-2942. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Gonzalez, Jerry can be contacted via phone (847) 980-2410.

Contact Information

Primary practice address
1222 North Ave Waukegan IL 60085-2942
Phone: (847) 980-2410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 45-3068110 Illinois

Profile Details

NPI number 1982073961
LBN Legal business name Gonzalez, Jerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2015
Last updated Sep 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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