Individual
MR. JOSEPH GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2401 RAVINE WAY STE 200, GLENVIEW, IL 60025-7645
(847) 832-6745
Mailing address
2425 N KOSTNER AVE, CHICAGO, IL 60639-2024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004853
IL
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/05/2017
Last updated
02/18/2020
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