JERRY GONZALEZ
NPI 1982073961
Driver in Waukegan, IL
About Jerry Gonzalez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY GONZALEZ (NPI 1982073961) is an individual driver provider in Waukegan, Illinois, licensed in Illinois (45-3068110) and active in the NPI registry since September 2015.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jerry Gonzalez's NPI number?
The NPI number for Jerry Gonzalez is 1982073961. It was assigned to this individual provider in the NPPES registry on September 19, 2015.
Where is Jerry Gonzalez located?
Jerry Gonzalez practices at 1222 North Ave, Waukegan, IL 60085. The listed phone number is (847) 980-2410.
What is Jerry Gonzalez's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Jerry Gonzalez was last updated on September 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jerry Gonzalez · NPI 1982073961
Driver provider in Waukegan, Illinois. Individual provider, active in the CMS NPPES registry since September 19, 2015.
## Identity
- **NPI:** 1982073961 (Entity type: Individual)
- **Enumerated:** September 19, 2015
- **Primary specialty:** Driver · taxonomy 172A00000X
- **State license:** 45-3068110 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1222 NORTH AVE, Waukegan, IL 60085-2942
- **Phone:** (847) 980-2410
## Record status
- **NPPES last updated:** September 19, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1982073961) · Data from the CMS NPPES public registry.