Individual
CRYSTAL GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2020 N LINCOLN PARK W APT 36K, CHICAGO, IL 60614-4733
(760) 662-0130
Mailing address
2020 N LINCOLN PARK W APT 36K, CHICAGO, IL 60614-4733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.025507
IL
225100000X
Physical Therapist
Primary
070025507
IL
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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