SARA GONZALEZ (NPI# 1760985303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760985303 |
| Entity Type | Individual |
| Full Name | SARA GONZALEZ |
| Credential | NCC |
| Practice Address |
2753 W Division St Chicago IL 60622-2854 |
| Mailing Address |
1639 N Keystone Ave Unit 2 Chicago IL 60639-5201 |
| Practice Telephone | 7734959980 |
| Mailing Telephone | 7734959980 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.012679 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
888768 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1639 N Keystone Ave Unit 2, Chicago, IL 606395201 | 7734959980 | |
| 3166 N Lincoln Ave Ste 224, Chicago, IL 606573119 | 7736226218 | 7736227440 |
| 6250 W North Ave, Chicago, IL 606393861 | 7736226218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932755709 | Sara Beth Gonzalez | Occupational Therapy Assistant | 7001 N 10th St Ste 303, Mcallen, TX 78504-3347 | 2019-08-16 |
| 1245685726 | Sara Gonzalez | Physical Therapy Assistant | 53 Harris Ave, Albany, NY 12208-3018 | 2016-05-03 |
| 1083996763 | Sara Lynn Gonzalez | Nurse Practitioner | 8865 W 400 N Ste 105, Michigan City, IN 46360-9223 | 2011-09-19 |
| 1093952202 | Sara Gonzalez | Dental Assistant | 4000 La Rica Ave Ste D, Baldwin Park, CA 91706-3163 | 2009-01-09 |
| 1154530558 | Sara Luzines Gonzalez | Speech-Language Pathologist | 34 Calle 25 De Julio, Esquina Pasarel, Yauco, PR 00698-3602 | 2007-05-22 |
| 1316576978 | Sara Gonzalez | Behavior Technician | 1900 Aldersgate Rd, Little Rock, AR 72205-6620 | 2020-04-06 |
| 1932745775 | Sara Gonzalez | Behavior Technician | 6951 Pistol Range Rd, Tampa, FL 33635-9601 | 2019-11-26 |
| 1700345444 | Sara Lenise Gonzalez | Behavior Technician | 3230 E Imperial Hwy Ste 203, Brea, CA 92821-1706 | 2019-03-12 |
| 1770079345 | Sara Gonzalez | Specialist | 1133 Westchester Ave Ste N230, White Plains, NY 10604-3516 | 2018-07-07 |
| 1265938757 | Sara Isabel Gonzalez | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2018-04-03 |
| Street Address |
2753 W DIVISION ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.