Individual
EDUARDO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 HIGH GROVE BLVD, BURR RIDGE, IL 60527-7585
(630) 734-4588
Mailing address
1406 61ST ST, DOWNERS GROVE, IL 60516-1760
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000770
IL
Other
Enumeration date
03/10/2008
Last updated
04/20/2012
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