Jaime Gonzalez

Physical Therapy Assistant · Gurnee, IL

Individual Active NPI

NPI number 1104781905

Practice location

350 S Greenleaf St Ste 403
Gurnee, IL 60031-5709
Phone
(847) 596-7640
Fax
(847) 596-7641

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NPI record

NPI
1104781905
Entity type
Individual (Type 1)
Enumeration date
December 23, 2025
Last updated
December 23, 2025
Certified
December 23, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160-009205 IL

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone
(847) 324-3976
Fax
(847) 929-1154

About Jaime Gonzalez

Jaime Gonzalez is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 350 S Greenleaf St Ste 403, Gurnee, IL 60031-5709. The NPI number 1104781905 was assigned on December 23, 2025 and the record was last updated on December 23, 2025.

Jaime Gonzalez lists a license in the registry: #160-009205 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jaime Gonzalez?

The NPI number is 1104781905.

What is the phone number of Jaime Gonzalez?

The phone number listed for the practice location is (847) 596-7640.

Where is Jaime Gonzalez located?

350 S Greenleaf St Ste 403, Gurnee, IL 60031-5709.

What is the taxonomy code for Jaime Gonzalez?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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