Individual
IRENE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
2801 S LAWNDALE AVE, CHICAGO, IL 60623-4547
(773) 456-7551
Mailing address
4353 142ND ST, CRESTWOOD, IL 60445-2201
(773) 771-7882
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.003482
IL
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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