Individual
DR. CARLOS QUEZADA-GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2800 S CALIFORNIA AVE, CERMAK HEALTH SERVICES, CHICAGO, IL 60608-5107
(773) 869-5617
Mailing address
1415 SHERMAN AVE APT 507, EVANSTON, IL 60201-4467
(312) 550-1134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005888
IL
Other
Enumeration date
11/04/2008
Last updated
04/28/2021
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