Gonzalez, Laura Lisette

Gonzalez, Laura Lisette is an individual health care provider with primary practice located at 966 W 21St St , Chicago IL 60608-4511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gonzalez, Laura Lisette can be contacted via phone (773) 254-1400.

Contact Information

Primary practice address
966 W 21St St Chicago IL 60608-4511
Phone: (773) 254-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209025174 Illinois

Profile Details

NPI number 1386389286
LBN Legal business name Gonzalez, Laura Lisette
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2022
Last updated Jul 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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