Individual provider · Type 1 NPI

Crystal Gonzalez

Nurse Practitioner · Lombard, IL

NPI number 1205766722 Active

Practice location

2200 S Main St Ste 111C
Lombard, IL 60148-5364

Mailing address

715 Hortense Dr
Kirkland, IL 60146-8849

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.035055 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1205766722

Crystal Gonzalez's National Provider Identifier is 1205766722, issued on May 19, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lombard, IL. The record was last updated on May 19, 2026.