ROSE GOMEZ, M.D.,P.C. (NPI# 1306027412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306027412 |
| Entity Type | Organization |
| Organization Name | ROSE GOMEZ, M.D.,P.C. |
| Practice Address |
7600 W College Dr Palos Heights IL 60463-1256 |
| Mailing Address |
875 N Michigan Ave Suite 3710 Chicago IL 60611-1803 |
| Practice Telephone | 7083611616 |
| Practice Fax Number | 7083611502 |
| Mailing Telephone | 3129512826 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | ROSE GOMEZ (PRESIDENT) |
| Authorized Official Telephone | 7083611616 |
| Authorized Official Credential | M.D.,P.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | PARENT ORGANIZATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
36056870 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 0021609583 | 01 |
| Street Address |
7600 W COLLEGE DR |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309932 | James B Boscardin | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2005-07-13 |
| 1730617036 | Allison M Coenen | Physician Assistant | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2017-05-31 |
| 1043765258 | Justine Vogel | Physician Assistant | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2016-08-17 |
| 1710388236 | Kasey Cartwright | Occupational Therapist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2014-09-16 |
| 1174942718 | James E. Mccormick, D.m.d., M.s., Ltd. | Dentist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2014-04-10 |
| 1831518430 | Colleen Krambeck | Physical Therapist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2014-04-10 |
| 1437584364 | Premiere General Medicine S C | Internal Medicine | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2013-09-10 |
| 1801221080 | Susan Damstra | Physical Therapist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2013-09-06 |
| 1699028860 | Brian Marc Karshen | Dentist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2012-10-24 |
| 1487911459 | Kyle John Macgillis | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463 | 2012-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1831797141 | Camelot Care Centers, LLC | Clinic/Center | 5301 E State St Ste 208, Rockford, IL 61108-2397 | 2020-10-09 |
| 1255954780 | The Transformation Specialists LLC | Clinic/Center | 813 Ash St, Flossmoor, IL 60422-2213 | 2020-05-19 |
| 1689296162 | Kmetko & Associates, Ltd. | Clinic/Center | 4043 N Ravenswood Ave Ste 121, Chicago, IL 60613-1176 | 2020-05-07 |
| 1962035709 | Ellen M Griffin Psyd PC | Clinic/Center | 155 N Michigan Ave Ste 512, Chicago, IL 60601-7612 | 2020-02-20 |
| 1962034488 | Global Executive Council Services | Clinic/Center | 5766 N Lincoln Ave Ste 4s, Chicago, IL 60659-4734 | 2020-02-12 |
| 1366082232 | Westcare Illinois, Inc | Clinic/Center | 1100 W Cermak Rd Ste B116, Chicago, IL 60608-4540 | 2020-01-08 |
| 1295379972 | Compass Health Center Oakbrook Pllc | Clinic/Center | 700 Oakmont Ln, Westmont, IL 60559-5551 | 2019-11-05 |
| 1427690676 | Midwest Family and Community Resources PC | Clinic/Center | 3330 W 177th St Fl 1, Hazel Crest, IL 60429-2184 | 2019-10-09 |
| 1720629041 | Monte Nido Illinois, LLC | Clinic/Center | 27w121 80th St, Naperville, IL 60565-1270 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
Please comment or provide details below to improve the information on ROSE GOMEZ, M.D.,P.C..
| 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.