Irving Gonzalez

Athletic Trainer · Whiting, IN

Individual Active NPI

NPI number 1205244688

Practice location

1921 Davis Ave
Whiting, IN 46394-1820
Phone
(219) 659-3522
Fax
(219) 554-4571

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NPI record

NPI
1205244688
Entity type
Individual (Type 1)
Enumeration date
July 29, 2014
Last updated
July 29, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 36002219A IN
Athletic Trainer 2255A2300X 096003543 IL

Mailing address

2604 S Emerald Ave
Apartment C
Chicago, IL 60616-2525
Phone
(847) 791-0240

About Irving Gonzalez

Irving Gonzalez is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1921 Davis Ave, Whiting, IN 46394-1820. The NPI number 1205244688 was assigned on July 29, 2014 and the record was last updated on July 29, 2014.

Irving Gonzalez lists 2 licenses in the registry: #36002219A (IN) for Athletic Trainer; #096003543 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Irving Gonzalez?

The NPI number is 1205244688.

What is the phone number of Irving Gonzalez?

The phone number listed for the practice location is (219) 659-3522.

Where is Irving Gonzalez located?

1921 Davis Ave, Whiting, IN 46394-1820.

What is the taxonomy code for Irving Gonzalez?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

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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