Individual
ELFEGA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1541 W DEVON AVE, CHICAGO, IL 60660-1313
(773) 250-5222
Mailing address
1541 W DEVON AVE, CHICAGO, IL 60660-1313
(773) 250-5222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016985
IL
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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