# M. GOMEZ INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760799126
- **Authorized official:** MELJUN L GOMEZ NP-C (PRESIDENT)
- **Authorized official phone:** (773) 744-2935

## Contact information

- **Practice address:** 2266 N LINCOLN AVE LOWR LEVEL, CHICAGO, IL 60614-7600
- **Practice address phone:** (773) 883-3953
- **Practice address fax:** (773) 883-3649
- **Mailing address:** 1040 W ADAMS ST UNIT 346, CHICAGO, IL 60607-3087
- **Mailing address phone:** (773) 744-2935
- **Mailing address fax:** (773) 883-3649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 209.008312 | IL | Yes |

## Other

- **Enumeration date:** 09/08/2010
- **Last updated:** 09/08/2010