Active NPI
Amy Gomez
- Speech-Language Pathologist
- Lansing, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.007672
- Practice address
- 3025 Spring Lake Dr
Lansing, IL 60438-4403 - Phone
- (708) 474-6100
- NPI assigned
- May 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.007672 | IL | Primary |
Addresses
Primary practice location
3025 Spring Lake Dr
Lansing, IL 60438-4403
Mailing address
2306 W Superior St Apt 2E
Chicago, IL 60612-1229
Phone (909) 635-7674
Other practice location 1
101 Main St
Park Forest, IL 60466-2375
Phone (708) 283-2921
Other practice location 2
1370 Ring Rd
Calumet City, IL 60409-5428
Phone (708) 730-0994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2155 W Pierce Ave
Chicago, IL 60622
Phone (773) 252-2066
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
Speech-Language Pathologist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1780432534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 W SUPERIOR ST APT 2E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606121229",
"telephone_number": "909-635-7674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 SPRING LAKE DR",
"city": "LANSING",
"state": "IL",
"postal_code": "604384403",
"telephone_number": "708-474-6100"
}
],
"practiceLocations": [
{
"address_1": "101 Main St",
"address_purpose": "LOCATION",
"city": "Park Forest",
"state": "IL",
"postal_code": "604662375",
"country_code": "US",
"telephone_number": "708-283-2921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1370 Ring Rd",
"address_purpose": "LOCATION",
"city": "Calumet City",
"state": "IL",
"postal_code": "604095428",
"country_code": "US",
"telephone_number": "708-730-0994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.007672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.