Individual
MR. BRUCE EVARISTO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
5910 N VIRGINIA AVE, CHICAGO, IL 60659-3723
(847) 475-0935
(773) 334-6320
Mailing address
1410 WASHINGTON ST, EVANSTON, IL 60202-1682
(847) 475-0935
(773) 334-6320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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