Gloria Gomez

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2031 Dugdale Rd
North Chicago, IL 60064-1928

Phone

(847) 785-8660

Fax

(847) 785-8665

NPI assigned

Oct 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicasa, NFP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • North Chicago, IL
  • NPI 1841614294
  NPD (past)
• Nicasa, NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Chicago, IL
  • NPI 1982154407
  NPD (past)

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1427420322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 DUGDALE RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600641928",
            "telephone_number": "847-785-8660",
            "fax_number": "847-785-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 DUGDALE RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600641928",
            "telephone_number": "847-785-8660",
            "fax_number": "847-785-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "GLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle G Gilbert, M.D.
• Carol Kay Gilchrist, R.N.
• Nicholas Girgis
• Dilan Gokyer, MD
• Artemis Golzar
• Jack Gordon, LCSW
• Karan Gowda
• Gregory Grace, MSW
• Kaitlin Gradberg, RN
• Sarah Elizabeth Grady, PHARMD, BCPS, BCPP

• Counselor in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.