Jerry Gonzalez
Jerry Gonzalez is a Driver in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
1222 N AveWaukegan, IL 60085-2942
Phone: (847) 980-2410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 45-3068110 (IL) |
|---|
Record details
| NPI number | 1982073961 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 19, 2015 |
| Last updated in NPPES | September 19, 2015 |
| Mailing address | 1222 North Ave, Waukegan, IL 60085-2942 |
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