BRANDON ANTHONY GONZALES

CHICAGO, IL
NPI1578840161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096002857)
Enumeration Date2011-11-09
Last Update Date2011-11-10
Business Address
-- BRANDON ANTHONY GONZALES ATC
5550 S UNIVERSITY AVE
CHICAGO, IL 60637-1522
Phone number: 773-702-1048
Mailing Address
-- BRANDON ANTHONY GONZALES ATC
22939 S KATHEY DR
CHANNAHON, IL 60410-3239
Phone number:
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