Gamboa, Andres J
Gamboa, Andres J is an individual health care provider with primary practice located at 9634 S Pulaski Rd , Oak Lawn IL 60453-3391. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gamboa, Andres J can be contacted via phone (708) 423-4800.Contact Information
Primary practice address
9634 S Pulaski Rd
Oak Lawn IL 60453-3391
Phone: (708) 423-4800
Fax: (708) 423-4843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070027145 | Illinois |
Profile Details
| NPI number | 1730893033 |
|---|---|
| LBN Legal business name | Gamboa, Andres J |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2023 |
| Last updated | Jan 11th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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