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:
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Health care specialties

SpecialtyCodeLicense #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 17 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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