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Individual

CARLA GAMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
2401 RAVINE WAY, SUITE 200, GLENVIEW, IL 60025-7645
(847) 998-5680
Mailing address
900 RAND RD STE 300, ATTN: RAQUEL LEON, DES PLAINES, IL 60016-2359
(847) 324-3976

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004962
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016-004962
IL
Enumeration date
06/02/2006
Last updated
08/28/2012
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