Gomez, James J

Gomez, James J is an sole proprietor health care provider with primary practice located at 8321 W North Ave , Melrose Park IL 60160-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gomez, James J can be contacted via phone (708) 681-2298.

Contact Information

Primary practice address
8321 W North Ave Melrose Park IL 60160-1605
Phone: (708) 681-2298
Fax: (708) 681-2398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036084959 Illinois

Profile Details

NPI number 1376654103
LBN Legal business name Gomez, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated May 13th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376654103 NPPES
Illinois MEDICAID 036084959

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