Individual provider · Type 1 NPI

Jaime Gonzalez

Physical Therapy Assistant · Gurnee, IL

NPI number 1104781905 Active

Practice location

350 S Greenleaf St Ste 403
Gurnee, IL 60031-5709

Call (847) 596-7640 Map

Fax (847) 596-7641

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160-009205 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1104781905

Jaime Gonzalez's National Provider Identifier is 1104781905, issued on Dec 23, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Gurnee, IL. The record was last updated on Dec 23, 2025.