Individual
GLEN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
605 EDWARD DR, ROMEOVILLE, IL 60446-6507
(331) 808-1362
Mailing address
3816 PETRA CT, NAPERVILLE, IL 60564-7113
(331) 253-8167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005645
IL
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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