Provider Demographics
NPI:1427128966
Name:GONZALEZ, KAREN M (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:A
Other - Last Name:MALONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1011 N ILLINOIS AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4407
Mailing Address - Country:US
Mailing Address - Phone:847-253-8385
Mailing Address - Fax:
Practice Address - Street 1:26156 N ACORN LN
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-4071
Practice Address - Country:US
Practice Address - Phone:847-566-9221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-007487235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist