M GOMEZ INC. NPI 1740529510

NPI Information

NPI: 1740529510
Provider Name: M GOMEZ INC.
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2266 N LINCOLN AVE
LOWER LEVEL
CHICAGO, IL
ZIP 60614
Phone: (773) 883-3953
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M GOMEZ INC. is a primary care nurse practitioner in Chicago, IL. M GOMEZ INC. NPI is 1740529510. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2266 N LINCOLN AVE
LOWER LEVEL
CHICAGO, IL
ZIP 60614-600
Phone: (773) 883-3953
Fax: (773) 883-3649

The provider's authorized official is Meljun Gomez .
The authorized official title is Nurse Practitioner and has the following contact phone number (773) 883-3953.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 2/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	209008312	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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