Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Nicole Gonzales

Individual provider Developmental Therapist · NPI 1407362668

Marissa Nicole Gonzales is a Developmental Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017

Practice location Address checks out

7634 W Balmoral Ave
Chicago, IL 60656-1724
Phone: (613) 804-4268
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (IL)

Record details

NPI number1407362668
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2017
Last updated in NPPESDecember 22, 2017

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