MR. MARCELO GONZALEZ (NPI# 1518418037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518418037 |
| Entity Type | Individual |
| Full Name | MR. MARCELO GONZALEZ |
| Credential | LPC |
| Practice Address |
3354 N Paulina St 206f Chicago IL 60657-1068 |
| Mailing Address |
3354 N Paulina St 206 F Chicago IL 60657-1068 |
| Practice Telephone | 7738289871 |
| Mailing Telephone | 7863489097 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178012324 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932146529 | Marcelo Gonzalez | Specialist | 4035 Crescent Park Dr, Riverview, FL 33578-3605 | 2006-06-01 |
| Street Address |
3354 N PAULINA ST 206F |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609897826 | Jodine A Speckman | Chiropractor | 3354 N Paulina St, Suite 203, Chicago, IL 60657-1068 | 2006-07-22 |
| 1467804617 | Kari Harrison | Counselor | 3354 N Paulina St, Suite 206f, Chicago, IL 60657-1068 | 2016-07-11 |
| 1811348485 | Tandem Psychology LLC | Psychologist | 3354 N Paulina St, 205, Chicago, IL 60657-1068 | 2016-06-24 |
| 1477900199 | The New Center, LLC | Psychologist | 3354 N Paulina St, Suite 204c, Chicago, IL 60657-1068 | 2016-05-23 |
| 1740691542 | Tyler Fortman | Psychologist | 3354 N Paulina St, Suite 205, Chicago, IL 60657-1068 | 2014-05-14 |
| 1821245036 | Leslie Banghart | Social Worker | 3354 N Paulina St, 206f, Chicago, IL 60657-1068 | 2008-08-19 |
| 1497913792 | Gregg S Horigan | Chiropractor | 3354 N Paulina St, Suite 206c, Chicago, IL 60657-1068 | 2008-05-23 |
| 1710145933 | Biotidal Technology, Inc | Clinic/Center | 3354 N Paulina St, Suite 206c, Chicago, IL 60657-1068 | 2008-05-23 |
| 1184804619 | Mary Lagana | Social Worker | 3354 N Paulina St, Suite 204c, Chicago, IL 60657-1068 | 2007-11-13 |
| 1659582831 | Trang Vu Donovan | Massage Therapist | 3354 N Paulina St, Studio 206c, Chicago, IL 60657-1068 | 2007-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.