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
Lower Level
Chicago, IL 60614-7600

Phone

(773) 883-3953

Fax

(773) 883-3649

NPI assigned

Oct 3, 2011

Last updated

Oct 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meljun Gomez, NP-CNPI 1952618316

Title

President

Phone

(773) 744-2935

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meljun L Gomez, NP-C

  • Adult Health Nurse Practitioner
  • Chicago, IL
  • NPI 1952618316
  Authorized official Same address or phone

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1902180466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 N LINCOLN AVE",
            "address_2": "LOWER LEVEL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147600",
            "telephone_number": "773-883-3953",
            "fax_number": "773-883-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N LINCOLN AVE",
            "address_2": "LOWER 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": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MELJUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-744-2935",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.008312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• M.D Developmental Agency LLC

• 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 Oct 3, 2011; 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.