Healthcare Provider Details

I. General information

NPI: 1598679813
Provider Name (Legal Business Name): JULIETTE UNIQUE GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E WOODFIELD RD STE 102
SCHAUMBURG IL
60173-4780
US

IV. Provider business mailing address

46 E JUDITH ANN DR
MT PROSPECT IL
60056-2107
US

V. Phone/Fax

Practice location:
  • Phone: 847-809-1903
  • Fax:
Mailing address:
  • Phone: 847-873-9214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.567855
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: