Gomez Charleston (NPI# 1124021795, PAC ID# 9335281146) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124021795 |
| PAC ID by PECOS | 9335281146 |
| Professional Enrollment ID | I20100116000053 |
| Full Name | Gomez Charleston |
| Organization Legal Name | PRESENCE HEALTHCARE SERVICES |
| Address |
9000 S Stony Island Ave Chicago IL 60617-3508 |
| Phone Number | 7737310670 |
| Gender | M |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2860396769 |
| Number of Group Practice Members | 352 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140224 | PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO |
| 140180 | PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER |
| 140119 | RUSH UNIVERSITY MEDICAL CENTER |
| 140281 | NORTHWESTERN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9000 S Stony Island Ave, Chicago, IL 60617-3508 | 7737310670 | PRESENCE HEALTHCARE SERVICES |
| Organization Legal Name | PRESENCE HEALTHCARE SERVICES |
| Physicians | 345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alaina Lastres | Nurse Practitioner | Presence Healthcare Services | 455 W Court St, Kankakee, IL 60901-3695 |
| Taha Alrifai | Internal Medicine | Presence Healthcare Services | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Miriam Nuer | Internal Medicine | Presence Healthcare Services | 7380 N Lincoln Ave, Lincolnwood, IL 60712-1705 |
| Sarah Freeburg | Physician Assistant | Presence Healthcare Services | 27025 W Eames St, Channahon, IL 60410-5619 |
| Jemia D Martin | Nurse Practitioner | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Julia Gold | Family Medicine | Presence Healthcare Services | 4833 N Milwaukee Ave, Chicago, IL 60630-2145 |
| Saima Najam | Family Medicine | Presence Healthcare Services | 2201 Randall Rd, Carpentersville, IL 60110-3355 |
| Gopika Chandra | Internal Medicine | Presence Healthcare Services | 1150 W Fullerton Ave, Chicago, IL 60614-8160 |
| Muhammad Omer M Ansari | Family Medicine | Presence Healthcare Services | 410e Lincoln Hwy 101, New Lenox, IL 60451-1976 |
| Lester Ferra | Family Medicine | Presence Healthcare Services | 2233 W Division St, Suite 205, Chicago, IL 60622-8151 |
| Street Address |
9000 S STONY ISLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60617-3508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jemia D Martin | Nurse Practitioner | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Vivek Kaistha | Internal Medicine | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Karen K Botsoe | Internal Medicine | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Harold B Eulien | Internal Medicine | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| C Tyson | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Jaspal Singh | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Khadeer K Ahmed | Internal Medicine | Nephrology Associates of Northern Illinois Ltd | 8012 S Crandon Ave, South Shore Hospital, Chicago, IL 60617-1124 |
| So J Kim | Anesthesiology | Steven R Greenwald Md Sc | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Sudheer Paruchuri | Interventional Radiology | Advanced Imaging Services | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Arpit Suresh Shah | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Suite 100, Chicago, IL 60617-1124 | |
| Daniel P Saviano | Emergency Medicine | Crandon Emergency Physicians LLC | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Frank M Marmo | Diagnostic Radiology | Advanced Imaging Services | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Mahdi A Alsaden | General Surgery | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Syed M Husain | Emergency Medicine | Crandon Emergency Physicians LLC | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Find all physicians in zip 60617 | |||
| City | CHICAGO |
| Zip Code | 60617 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHICAGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gomez Charleston.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.