institution
M. Gomez Inc.
Adult Health Nurse Practitioner in Chicago, Illinois
NPI 1760799126

M. Gomez Inc. is an Adult Health Nurse Practitioner based in Chicago, IL and is specialized in Adult Health. M. Gomez Inc. practices in Chicago, IL. The NPI Number for M. Gomez Inc. is 1760799126 and holds a License No. 209.008312 (Illinois).

The current practice location address for M. Gomez Inc. is 2266 N Lincoln Ave Lowr Level, Chicago, IL and can be reached out via phone at 773-883-3953 and via fax at 773-883-3649.

Location: 2266 N Lincoln Ave Lowr Level, Chicago, IL, 60607-3087
institution
Provider Profile Details
NPI Number
1760799126
Provider Name
M. Gomez Inc.
Credential
Provider Entity Type
Organization
Address
2266 N Lincoln Ave Lowr Level, Chicago, IL, 60607-3087
Phone Number
773-883-3953
Fax Number
773-883-3649
Provider Enumeration Date
09/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952618316 01 IL INDIVIDUAL NPI
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Provider Business Practice Location Address Details
Address
2266 N Lincoln Ave Lowr Level
City
State
Zip
60614-7600
Phone Number
773-883-3953
Fax Number
773-883-3649
person
Provider Business Mailing Address Details
Address
2266 N Lincoln Ave Lowr Level
City
State
Zip
60614-7600
Phone Number
773-883-3953
Fax Number
773-883-3649
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209.008312 (Illinois)
Definition
Definition to come...
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