| Doctor Name: | PHILLIP NELSON GONZALEZ |
| NPI Number: | 1275847311 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 50 E Northwest Hight Mt Prospect, IL - 600560000 |
| Business Phone Number: | 8477189201 |
| Business Fax Number: | 8477189505 |
| Mailing Address: | 205 W Wacker Dr, Suite 1020 CHICAGO |
| State: | IL |
| Postal Code: | 606061216 |
| Phone Number: | 3126400329 |
| Fax Number: | 3126400407 |
| NPI Enumeration Date: | 07/30/2010 |
| NPI Last Update Date: | 03/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |