Individual
DR. LIANCY AMANDA GOMEZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS, BCGP
Contact information
Practice address
5000 SOUTH FIFTH AVENUE, HINES, IL 60141
(708) 202-8387
Mailing address
5000 S 5TH AVE # 119, HINES, IL 60141-3030
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051289775
IL
1835G0303X
Geriatric Pharmacist
Primary
9101816
IL
1835P1200X
Pharmacotherapy Pharmacist
305006608
IL
Other
Enumeration date
09/29/2006
Last updated
11/06/2025
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