JERRY GONZALEZ

WAUKEGAN, IL
NPI1982073961
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172A00000X Driver
(Licence: IL  45-3068110)
Enumeration Date2015-09-19
Last Update Date2015-09-19
Business Address
-- JERRY GONZALEZ
1222 NORTH AVE
WAUKEGAN, IL 60085-2942
Phone number: 847-980-2410
Mailing Address
-- JERRY GONZALEZ
1222 NORTH AVE
WAUKEGAN, IL 60085-2942
Phone number: 847-980-2410