Doctor Name: | JOSEPHINE L. GONZALES-CHUA |
NPI Number: | 1053632331 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070006532 |
Business Practice Address: | 1790 Nations Drive Suite 107 Gurnee, IL - 600319175 |
Business Phone Number: | 2245488114 |
Business Fax Number: | 2244944023 |
Mailing Address: | 1790 Nations Dr, Suite 107 GURNEE |
State: | IL |
Postal Code: | 600319164 |
Phone Number: | 2245488114 |
Fax Number: | 2249440236 |
NPI Enumeration Date: | 06/21/2010 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 070006532 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |