Individual provider · Type 1 NPI

Lisset Madera-Gonzalez

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1144163320 Active

Practice location

4815 S Karlov Ave
Chicago, IL 60632-4123

Call (773) 535-4875 Map

Mailing address

6231 S Albany Ave
Chicago, IL 60629-2615

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144163320

Lisset Madera-Gonzalez's National Provider Identifier is 1144163320, issued on Apr 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 13, 2026.