Individual
DR. GUILLERMO GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10434 S KEDZIE AVE, CHICAGO, IL 60655-2018
(773) 445-2700
(773) 445-2325
Mailing address
10434 S KEDZIE AVE, CHICAGO, IL 60655-2018
(773) 445-2700
(773) 445-2325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
152WS0006X
Sports Vision Optometrist
—
IL
152WV0400X
Vision Therapy Optometrist
—
IL
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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