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Individual

GERARDO FRANCISCO GOMEZ ABUNDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2239 E COOK ST, SPRINGFIELD, IL 62703-1944
(217) 788-2300
(217) 788-2340
Mailing address
1801 W TAYLOR ST, ROOM 3 (MC735), CHICAGO, IL 60612-4795
(312) 996-8337

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036137756
IL
207R00000X
Internal Medicine Physician
125061680
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036137756
IL
Enumeration date
07/18/2012
Last updated
07/21/2022
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