Charleston, Gomez
Charleston, Gomez is an individual health care provider with primary practice located at 9000 S Stony Island Ave , Chicago IL 60617-3508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Charleston, Gomez can be contacted via phone (773) 731-0670.Contact Information
Primary practice address
9000 S Stony Island Ave
Chicago IL 60617-3508
Phone: (773) 731-0670
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Illinois |
Profile Details
NPI number | 1124021795 |
---|---|
LBN Legal business name | Charleston, Gomez |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2005 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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