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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JARED GONZALES

Active

JARED GONZALES is a Physical Therapy Assistant healthcare provider located in EVERGREEN PARK, Illinois. NPI 1679454482 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · EVERGREEN PARK, IL

Registration Details

NPI Number
1679454482
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2025 (0.74469505871382 yrs)
Last Updated
Sep 9, 2025
License
070.029468 (IL)

Practice Information

Address
10224 S KEDZIE AVE STE C
EVERGREEN PARK, IL, 608053700
Browse IL providers · Browse ZIP 60805
Phone
7739416132
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in EVERGREEN PARK, IL

Name Credential NPI
MR. AHMED HASSAN MS,PT 1164410668
MR. MOHAMED HASSAN MHS,PT 1174511679
MR. STEVEN HIRSCH WHITMAN P.T. 1851379598
MS. KRYSTYNA LARSON P.T., CLT 1366505851
DR. MATTHEW THOMAS CARLSON DPT, OCS, COMT 1073640413
ROWENA ADRIANO FLAVIER PT 1639396039
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.