Individual
GRISELDA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
649 BARRON BLVD, GRAYSLAKE, IL 60030-1343
(847) 223-7433
Mailing address
1139 BOB OFARRELL LN, ZION, IL 60099-4512
(224) 538-9901
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
14145719
IL
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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