IndividualActive
Abigail Gonsalves
NPI 1376191445 · Optometrist · Chicago, IL
Provider details
- NPI number
- 1376191445
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 046.011398 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1613 E 55th St
Chicago, IL 60615-6151
Phone: (312) 363-0202
Fax: (312) 363-0201
Approximate (ZIP-level) locationGet directions
Mailing address
1116 W Taylor St
Chicago, IL 60607-4455
Registry dates
- Enumerated
- 2019-08-30
- Last updated
- 2024-12-30
- Certified
- 2024-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.