CARLOS GONZALEZ L.M.T. NPI 1730598699

NPI Information

NPI: 1730598699
Provider Name: CARLOS GONZALEZ, L.M.T.
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
6518 N CLARK ST
CHICAGO, IL
ZIP 60626
Phone: (773) 326-5615
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Carlos Gonzalez, L.M.T. is a massage therapist in Chicago, IL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Carlos Gonzalez, L.M.T. NPI is 1730598699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6518 N CLARK ST
CHICAGO, IL
ZIP 60626-002
Phone: (773) 326-5615

The enumeration date for this NPI number is 8/5/2014 and was last updated on 8/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		227.007432	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	227.007432	OTHER	ILLINOIS	ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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