Rose Gomez, M.D.,

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36056870 Issued in IL

Practice address

7600 W College Dr
Palos Heights, IL 60463-1256

Phone

(708) 361-1616

Fax

(708) 361-1502

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1750499463",
    "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",
            "fax_number": "312-951-2661"
        },
        {
            "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": {
        "last_name": "GOMEZ",
        "first_name": "ROSE",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "36056870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0021609583",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis Glazer
• Danielle P Glickley, LSW
• Susan M Glickley, LCPC
• Lindsay Glos
• Gregg Goldberg, M.D.
• Florie A Gonsch, D.O.
• Christa Gonzalez, M.A.
• Kathryn Gooding, APRN, CNP
• Kerri Ann Gorman, OTR
• William A Graber Jr., MD

• Psychiatry Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Psychiatry Physician 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.