Individual
AMY GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 SPRING LAKE DR, LANSING, IL 60438-4403
(708) 474-6100
Mailing address
2306 W SUPERIOR ST APT 2E, CHICAGO, IL 60612-1229
(909) 635-7674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007672
IL
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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