Individual
DANIEL GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 W ADAMS ST, CHICAGO, IL 60661-3604
(312) 506-0900
Mailing address
600 W ADAMS ST, CHICAGO, IL 60661-3604
(312) 506-0900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009461
IL
Other
Enumeration date
01/23/2023
Last updated
06/24/2023
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