Jaime Trujillo-Gomez, MD

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

Practice address

2612 Greenleaf Ave
Wilmette, IL 60091-2221

Phone

(847) 251-0147

Fax

(847) 251-0371

NPI assigned

Apr 8, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578686390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 GREENLEAF AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912221",
            "telephone_number": "847-251-0147",
            "fax_number": "847-251-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 GREENLEAF AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912221",
            "telephone_number": "847-251-0147",
            "fax_number": "847-251-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO-GOMEZ",
        "first_name": "JAIME",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Marisa Tomaska, ATC
• Louise Collums Tomkins, M.D.
• Demetrius Trakas, M.D.
• Heather Troester, MA
• Sophie Troy, LSW
• Celeste Vaughn Twombly
• Jacqueline Tworek
• Michael Alan Tyllas, LCSW, PH.D.
• Daniela Uy Kimpang
• Lindsay Wegg Uzunlar, MD

• Psychosomatic Medicine Physician in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Psychosomatic Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.