Individual
BETH GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP BC PMHNP BC
Contact information
Practice address
301 E LINCOLN AVE, ONARGA, IL 60955-1312
(217) 278-8669
Mailing address
301 E LINCOLN AVE, ONARGA, IL 60955-1312
(815) 268-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012705
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209012705
IL
Other
Enumeration date
04/20/2015
Last updated
03/18/2025
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