Rose Gomez, M.D.,P.C.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

36056870 Issued in IL

Legal business name

ROSE GOMEZ, M.D.,P.C.

Practice address

7600 W College Dr
Palos Heights, IL 60463-1256

Phone

(708) 361-1616

Fax

(708) 361-1502

NPI assigned

Nov 16, 2007

Organization subpart

Yes

Parent organization

PARENT ORGANIZATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rose Gomez, M.D.,P.C.

Title

President

Phone

(708) 361-1616

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Rose Gomez MDPC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1306027412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N MICHIGAN AVE",
            "address_2": "SUITE 3710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111803",
            "telephone_number": "312-951-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631256",
            "telephone_number": "708-361-1616",
            "fax_number": "708-361-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE GOMEZ, M.D.,P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARENT ORGANIZATION",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-361-1616",
        "authorized_official_credential": "M.D.,P.C."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "36056870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0021609583",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carrie Rooy, COTA
• Kimberly M Rosenlund, ATC
• Andrea Jo Rosenquist, AUD, CCC-A
• Christopher Rouches, D.C.
• Daniel A Rowan, D.O.
• Kendrick Rucker

• Adolescent and Children Mental Health Clinic/Center in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.