NPIMap

Organization Active NPI

Eleanor Sa Gomez DMD PC

  • Dentist
  • Skokie, IL
National Provider Identifier
1831243377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ELEANOR SA GOMEZ DMD PC
Practice address
8039 Lincoln Ave
Skokie, IL 60077-3612
Phone
(847) 568-0834
Fax
(847) 568-9143
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eleanor Sa Gomez, DMDNPI 1760802904
Title
Dentist
Phone
(847) 568-0834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

8039 Lincoln Ave
Skokie, IL 60077-3612

Mailing address

8039 Lincoln Ave
Skokie, IL 60077-3612
Phone (847) 568-0834

National Provider Directory

National Provider Directory

Locations

8039 Lincoln Ave
Skokie, IL 60077
Phone (847) 568-0834

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831243377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8039 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773612",
            "telephone_number": "847-568-0834",
            "fax_number": "847-568-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8039 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773612",
            "telephone_number": "847-568-0834",
            "fax_number": "847-568-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR SA GOMEZ DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "SA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-568-0834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.