Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline N/A Gonzalez, PTA

Individual provider Physical Therapy Assistant · NPI 1265096945

Jacqueline N/A Gonzalez, PTA is a Physical Therapy Assistant in Cicero, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3521 S 56th Ct
Cicero, IL 60804
Phone: (708) 714-7919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.007922 (IL)

Record details

NPI number1265096945
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 27, 2019
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020

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