GOMEZ MEDICAL GROUP, INC (NPI# 1164823779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164823779 |
| Entity Type | Organization |
| Organization Name | GOMEZ MEDICAL GROUP, INC |
| Practice Address |
530 N Mclean Blvd Elgin IL 60123-3275 |
| Mailing Address |
1210 Woodview Dr Prospect Heights IL 60070-1086 |
| Practice Telephone | 8478940755 |
| Mailing Telephone | 8478940755 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | DR. ANGEL GOMEZ (PRESIDENT/OWNER) |
| Authorized Official Telephone | 8478940755 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036066870 | IL | Ambulatory Health Care Facilities |
| Street Address |
530 N MCLEAN BLVD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-3275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649359969 | Elgin Care Center Sc | Family Medicine | 530 N Mclean Blvd, Elgin, IL 60123-3275 | 2006-11-06 |
| 1982720314 | Pocholo Santos Florentino | Family Medicine | 530 N Mclean Blvd, Elgin, IL 60123-3275 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1588057277 | Happy Kids Pediatric Group Inc | Clinic/Center | 901 Center St, Suite 1001, Elgin, IL 60120-2104 | 2015-03-05 |
| 1780942169 | Renewed Balance Health & Wellness Center, S.c. | Clinic/Center | 2175 Point Blvd, Suite 170, Elgin, IL 60123-9216 | 2012-04-24 |
| 1184675340 | Elgin Medical Center,pa | Clinic/Center | 209 E 2nd St, Elgin, TX 78621-2225 | 2006-05-13 |
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| 1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
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| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.