ILSE G GONGORA

HINSDALE, IL
NPI1588425714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.015867)
Enumeration Date2024-01-16
Last Update Date2024-01-16
Business Address
ILSE G GONGORA OTR/L
522 W CHESTNUT ST STE GA
HINSDALE, IL 60521-3174
Phone number: 331-271-5070
Mailing Address
ILSE G GONGORA OTR/L
217 BERNICE AVE
NORTHLAKE, IL 60164-1712
Phone number:
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