Individual
NAYELY GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 1/2 N 19TH AVE, MELROSE PARK, IL 60160
(708) 345-8960
Mailing address
2321 N LAMON AVE APT 2, CHICAGO, IL 60639-3203
(773) 664-4938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
09/20/2023
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