Individual provider · Type 1 NPI
Jerry Gonzalez
Driver · Waukegan, IL
NPI number
1982073961
Active
Practice location
1222 North Ave
Waukegan, IL 60085-2942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 45-3068110 (IL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Waukegan
About NPI 1982073961
Jerry Gonzalez's National Provider Identifier is 1982073961, issued on Sep 19, 2015. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Waukegan, IL. The record was last updated on Sep 19, 2015.