Individual
MS. CHRISTY A GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-4145
Mailing address
5328 S GREENWOOD AVE, APT #204, CHICAGO, IL 60615-9010
(309) 251-9667
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209010756
IL
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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