M. Gomez Inc.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209.008312 Issued in IL

Legal business name

M. GOMEZ INC.

Practice address

2266 N Lincoln Ave Lowr Level
Chicago, IL 60614-7600

Phone

(773) 883-3953

Fax

(773) 883-3649

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Meljun L Gomez, NP-CNPI 1952618316

Title

President

Phone

(773) 744-2935

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meljun L Gomez, NP-C

  • Adult Health Nurse Practitioner
  • Chicago, IL
  • NPI 1952618316
  NPD (past) Authorized official

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1760799126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 W ADAMS ST UNIT 346",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073087",
            "telephone_number": "773-744-2935",
            "fax_number": "773-883-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N LINCOLN AVE LOWR LEVEL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147600",
            "telephone_number": "773-883-3953",
            "fax_number": "773-883-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. GOMEZ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MELJUN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-744-2935",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.008312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1952618316",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M Rahman, D.O., S.C.
• M S Hospitalist, LLC
• M S Labs Inc
• M-L Dental Clinic Inc
• M. Attalla Dental
• M. Gomez Inc.
• M. Imani & P. Imani, M.D., S.C.
• M. Olga Cisneros Bravo Psychotherapy, LLC
• M. Sajjad, M.D., S.C.
• M.a.Z. Services, Inc.

• Adult Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.