Address: 1222 North Ave, Waukegan, IL 60085-2942
Phone: 8479802410

JERRY GONZALEZ (NPI# 1982073961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982073961
Entity Type Individual
Practice Address 1222 North Ave
IL 60085-2942
Practice Telephone 8479802410
Mailing Telephone 8479802410
Enumeration Date 2015-09-19
Last Update Date 2015-09-19
Gender Code M
Is Sole Proprietor N


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver 45-3068110 IL Other Service Providers

Office Location

Street Address 1222 NORTH AVE
State IL
Zip Code 60085-2942

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285285189 Allison Rose Matuszewski Speech-Language Pathologist Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 2019-09-23
1164985602 Kristin Kaprak Speech-Language Pathologist Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 2019-04-11
1861972317 Mitchum Smith Student in an Organized Health Care Education/Training Program 2025 Washington Street, Waukegan, IL 60085 2018-08-15
1447702998 Rachel Martinez Registered Nurse 3002 Grand Ave., Waukegan, IL 60085 2016-11-01
1831649250 Kenneth Caples Specialist/Technologist 211 S County St, Waukegan, IL 60085 2016-10-10
1033666490 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 671 S. Lewis Ave., Waukegan, IL 60085 2016-09-02
1285007757 Michael Moore Counselor 1113 Greenwood Ave, Waukegan, IL 60085 2015-11-05
1740656503 Emperatriz Guerra Counselor 329 N. Genesee Street, Waukegan, IL 60085 2015-08-17
1992189880 County of Lake Clinic/Center 540 S. Mcalister Ave., Waukegan, IL 60085 2015-07-10
1922406354 Ebele Okonkwor Nurse Anesthetist, Certified Registered 1324 N. Sheridan, Waukegan, IL 60085 2014-12-17
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811530769 Safeway Transportation Services Corp Driver 550 N Green Bay Rd Ste 1, Waukegan, IL 60085-3183 2019-10-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104435551 Oluwagbenga Afiamoye Ojo Driver 6969 N Ashland Blvd Unit 101, Chicago, IL 60626-3354 2020-07-30
1780216622 David Woods Driver 802 Mountaineer Ln Apt C, Marion, IL 62959-4132 2020-02-09
1619508843 Tywan Thompson Driver 1329 Coldspring Rd, Carol Stream, IL 60188-4713 2020-01-27
1437789732 Ruby Nelson Driver 14429 S Emerald Ave, Riverdale, IL 60827-2618 2020-01-25
1861030009 National Center for Economics Driver 300 Read St Ste B, Lockport, IL 60441-3265 2019-12-18
1912548611 Best Transportation & Logistics Driver 11958 S Paulina St, Calumet Park, IL 60827-5316 2019-10-03
1053969790 Consistent Medical Transportation Driver 2012 N 17th St, Swansea, IL 62226 2019-08-27
1548815483 Gwendolyn Stevens Driver 13836 Division St, Blue Island, IL 60406-3221 2019-08-07
1740833219 Virginia Ann Hall Driver 18509 School St Apt 2b, Lansing, IL 60438-2946 2019-07-23
1881246643 Maureen Whitley Driver 1030 Notting Hill Ct, Collinsville, IL 62234-6048 2019-07-11
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Zip Code 60085

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Dataset Information

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.